A Case of Mucoepidermoid Carcinoma Treated by Resection of the Left Main Bronchus by Two Stage Operation

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  • 二期的に左主気管支切除術を施行した粘表皮癌の1例
  • 症例 二期的に左主気管支切除術を施行した粘表皮癌の1例
  • ショウレイ ニキテキ ニ サシュ キカンシ セツジョジュツ オ シコウ シタ ネンヒョウヒガン ノ 1レイ

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A 48-year-old man visited a local hospital with the chief complaint of pyrexia. A chest X-ray film revealed pneumonia with atelectasis involving the entire left lung field. Findings suggestive of a neoplastic lesion in the left main bronchus were seen on chest CT, and a polypoid neoplastic lesion, which was substantially occluding the left main bronchus, was identified on bronchoscopy. Bronchoscopic findings suggested a benign tumor, and the patient was thus referred to our department to undergo bronchoscopic resection. Resection was performed under general anesthesia using a high-frequency electrosurgical snare, and low-grade mucoepidermoid carcinoma was diagnosed. Resection of the left main bronchus was performed in a second stage as a radical operation after waiting for the pneumonia in the left lung to improve. Presently, five years and six months have passed since the surgery without relapse. By performing surgery in two stages, the accurate preoperative diagnosis was obtained, and by bringing about an improvement in the pulmonary infection, there were no postoperative complications. It is believed that for low-grade bronchial tumors accompanying by obstructive pneumonia, two-stage surgery should also be considered.

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