Lung adenocarcinoma with anomalous bronchi and pulmonary veins preoperatively identified by computed tomography

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• 作者：Kouhei Tajima ; Nobuyuki Uchida ; Hajime Sasamoto ; Toshiyuki Okada ; Takayuki Kohri ; Akira Mogi and Hiroyuki Kuwano
• 刊名：Thoracic Cancer
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：7
• 期：5
• 页码：599-601
• 全文大小：306K
• ISSN：1759-7714

文摘

A 69-year-old woman visited our hospital complaining of right chest pain. Chest computed tomography showed a 55 × 45 mm tumor in the right upper lobe. Bronchoscopy revealed displaced anomalous B ¹ and B ^{2 +3} arising from the right main bronchus, and the patient was diagnosed with lung adenocarcinoma by transbronchial lung biopsy from the displaced B ^{2 +3}. Three-dimensional computed tomography with multiplanar reconstruction revealed a displaced anomalous B ¹ and B ^{2 +3} branching directly from the right main bronchus, respectively, and abnormal distribution of the aberrant pulmonary vein (V ²) descended dorsally to the right main bronchus and emptied into the left atrium. Video-assisted right upper lobectomy with nodal dissection was successfully performed. Attention should be paid to the anomalous bronchus and pulmonary vessels for safer lung cancer operations, especially for video-assisted thoracic surgery.