A Case of VATS Segmentectomy Performed for Mucoepidermoid Carcinoma Associated with Obstructive Pneumonia

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  • 閉塞性肺炎を伴った粘表皮癌に対し鏡視下区域切除術を施行した1例

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Abstract

Background. We report a case of surgery for mucoepidermoid carcinoma associated with recurrent obstructive pneumonia. Case. A 39-year-old woman was referred to our hospital for a tumor that was detected in the left lung by computed tomography performed because of pneumonia. The tumor appeared to be a mass lesion protruding into the lumen of the posterior basal segmental bronchus (Blo). Although bronchoscopy was performed, no definitive diagnosis was obtained. Thus, surgery was performed for both diagnosis and treatment. The intraoperative frozen section pathological diagnosis was mucoepidermoid carcinoma. Because it was a low-grade malignant tumor, left basal segmentectomy and lymphadenectomy were performed. Conclusion. Mucoepidermoid carcinoma, which is relatively rare, is likely to be associated with obstructive pneumonia due to the characteristics of the tumor. It should be noted that a mass lesion may be a factor in some cases of pneumonia, as shown in our case. We also consider that, in case of a low-grade malignant tumor, limited surgery is well indicated and should be actively considered.

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