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Case Report
Additional lobectomy for atypical carcinoid diagnosed after S3 segmentectomy
1 Department of Thoracic Surgery, Yamanashi University, Shimokato, Chuo-shi, Yamanashi, Japan
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Tsuyoshi Uchida
Department of Thoracic Surgery, Yamanashi University, Shimokato 1110, Chuo-shi, Yamanashi,
Japan
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Article ID: 101155Z01TU2020
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Uchida T, Matsubara H, Muto M, Onuki Y, Matsuoka H, Nakajima H. Additional lobectomy for atypical carcinoid diagnosed after S3 segmentectomy. Int J Case Rep Images 2020;11:101155Z01TU2020.ABSTRACT
Introduction: Pulmonary segmentectomy is performed for early-stage lung cancer as a limited resection to preserve pulmonary function. However, the criteria for segmentectomy remain controversial. We report a case in which S3 segmentectomy was performed for a very small nodule, and completion lobectomy was required due to the risk of malignant remnants.
Case Report: A 70-year-old woman with asthma was referred to our hospital for a ground-glass lung nodule with a solid component. Computed tomography indicated a 0.4-cm solid nodule in the upper lobe segment 3 (S3). S3 segmentectomy was performed because the position of the nodule rendered wedge resection difficult. After the surgery, the pathological analysis revealed that the tumor was an atypical carcinoid, and metastasis was found in the no. 13u lymph node. Thus, completion lobectomy and mediastinal lymph node dissection were performed. Her postoperative course was good, and she had no tumor recurrence 20 months after the surgery.
Conclusion: This case demonstrates two key points. First, care should be taken when segmentectomy is indicated, even if the tumor is small. Second, lymph node metastasis may be detected in segmentectomy, which might be missed in lobectomy.
Keywords: Additional lobectomy, Atypical carcinoid, Completion lobectomy, Ground-glass nodule, S3 segmentectomy
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Acknowledgments
We would like to thank Editage (www.editage.com) for English language editing.
Author ContributionsTsuyoshi Uchida - Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hirochika Matsubara - Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Mamoru Muto - Acquisition of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Yuichiro Onuki - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hiroyasu Matsuoka - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Hiroyuki Nakajima - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Tsuyoshi Uchida et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
