CT1aN0M0 lung adenocarcinoma treated with left S9+10 segmentectomy followed by completion lobectomy for a solitary metastasis (isolated tumor cells) in the neighboring segmental lymph node

Kohei Hashimoto, Takashi Ohtsuka, Mitsutomo Kohno, Yotaro Izumi, Hirohisa Horinouchi, Yuichiro Hayashi, Tadaki Nakahara, Hiroaki Nomori

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 47-year-old woman with a lung adenocarcinoma of 1.3 cm located in the left S9+10 was treated by S9+10 segmentectomy with sentinel node (SN) identifi - cation using radioisotopes. During segmentectomy, frozen section of the segmental nodes at S9+10 and S6, identifi ed as SNs, did not show metastasis; however, postoperative immunohistochemical staining with cytokeratin revealed isolated tumor cells in the segmental node at S6. None of the other dissected nodes, including the hilar, interlobar, and mediastinal nodes, showed metastasis, even with immunohistochemical staining. Completion lobectomy was conducted 6 days after segmentectomy, and the resected specimens did not show further metastasis. The fi nal pathological diagnosis was adenocarcinoma with pT1aN0(i+)M0 stage A. The present case was indicative of the importance of dissecting the segmental lymph node located not only at the tumor-bearing segment but also at the neighboring segment, especially the one located between the primary tumor and the lobar bronchi.

Original languageEnglish
Pages (from-to)240-243
Number of pages4
JournalGeneral Thoracic and Cardiovascular Surgery
Volume60
Issue number4
DOIs
Publication statusPublished - 2012 Apr

Fingerprint

Segmental Mastectomy
S 6
Lymph Nodes
Neoplasm Metastasis
Staining and Labeling
Neoplasms
Frozen Sections
Bronchi
Keratins
Radioisotopes
Cations
Adenocarcinoma
Adenocarcinoma of lung

Keywords

  • Lung cancer
  • Segmental node
  • Segmentectomy
  • Sentinel node

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

CT1aN0M0 lung adenocarcinoma treated with left S9+10 segmentectomy followed by completion lobectomy for a solitary metastasis (isolated tumor cells) in the neighboring segmental lymph node. / Hashimoto, Kohei; Ohtsuka, Takashi; Kohno, Mitsutomo; Izumi, Yotaro; Horinouchi, Hirohisa; Hayashi, Yuichiro; Nakahara, Tadaki; Nomori, Hiroaki.

In: General Thoracic and Cardiovascular Surgery, Vol. 60, No. 4, 04.2012, p. 240-243.

Research output: Contribution to journalArticle

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