Cargando…
Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery()
INTRODUCTION: The Azygos lobe is a well-known but rare variant of the lung. This case reports the use of video-assisted thoracic surgery to diagnose and treat presumptive lung cancer of the azygos lobe. PRESENTATION OF CASE: A 67-year old female with known severe Chronic Obstructive Pulmonary Diseas...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921653/ https://www.ncbi.nlm.nih.gov/pubmed/24441715 http://dx.doi.org/10.1016/j.ijscr.2013.11.015 |
_version_ | 1782303326562418688 |
---|---|
author | Shakir, Huzaifa A. |
author_facet | Shakir, Huzaifa A. |
author_sort | Shakir, Huzaifa A. |
collection | PubMed |
description | INTRODUCTION: The Azygos lobe is a well-known but rare variant of the lung. This case reports the use of video-assisted thoracic surgery to diagnose and treat presumptive lung cancer of the azygos lobe. PRESENTATION OF CASE: A 67-year old female with known severe Chronic Obstructive Pulmonary Disease presented with increasing shortness of breath. Chest x-ray revealed a lung nodule in the right lung field. PET/CT imaging delineated a 1.6 x 1.2 cm speculated lesion in an aberrant azygos lobe. After appropriate preoperative testing and evaluation, the patient was taken to the operating room where the azygos lobe was removed using video-assisted thoracic surgery. DISCUSSION: The Azygos lobe is a well-known anatomical variant but such a lobe is rarely found to contain a malignant lesion. Azygos lobe removal alone may not be the best therapeutic option given the risk of locally recurrent disease, but in a select group of patients such as those with impaired lung function as this article describes, it may be the best available option in order to preserve postoperative pulmonary function. CONCLUSION: This case illustrates that gentle caudal traction on the azygos lobe will allow circumferential exposure to the lobe and identification of the bronchovascular pedicle thereby eliminating the need for thoracotomy and or extensive azygos vein dissection/division. |
format | Online Article Text |
id | pubmed-3921653 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-39216532014-02-12 Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() Shakir, Huzaifa A. Int J Surg Case Rep Article INTRODUCTION: The Azygos lobe is a well-known but rare variant of the lung. This case reports the use of video-assisted thoracic surgery to diagnose and treat presumptive lung cancer of the azygos lobe. PRESENTATION OF CASE: A 67-year old female with known severe Chronic Obstructive Pulmonary Disease presented with increasing shortness of breath. Chest x-ray revealed a lung nodule in the right lung field. PET/CT imaging delineated a 1.6 x 1.2 cm speculated lesion in an aberrant azygos lobe. After appropriate preoperative testing and evaluation, the patient was taken to the operating room where the azygos lobe was removed using video-assisted thoracic surgery. DISCUSSION: The Azygos lobe is a well-known anatomical variant but such a lobe is rarely found to contain a malignant lesion. Azygos lobe removal alone may not be the best therapeutic option given the risk of locally recurrent disease, but in a select group of patients such as those with impaired lung function as this article describes, it may be the best available option in order to preserve postoperative pulmonary function. CONCLUSION: This case illustrates that gentle caudal traction on the azygos lobe will allow circumferential exposure to the lobe and identification of the bronchovascular pedicle thereby eliminating the need for thoracotomy and or extensive azygos vein dissection/division. Elsevier 2013-12-12 /pmc/articles/PMC3921653/ /pubmed/24441715 http://dx.doi.org/10.1016/j.ijscr.2013.11.015 Text en © 2013 The Author http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivative Works License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Article Shakir, Huzaifa A. Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
title | Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
title_full | Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
title_fullStr | Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
title_full_unstemmed | Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
title_short | Removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
title_sort | removal of aberrant azygos lobe containing positron emission tomography positive nodule with the use of video-assisted thoracic surgery() |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3921653/ https://www.ncbi.nlm.nih.gov/pubmed/24441715 http://dx.doi.org/10.1016/j.ijscr.2013.11.015 |
work_keys_str_mv | AT shakirhuzaifaa removalofaberrantazygoslobecontainingpositronemissiontomographypositivenodulewiththeuseofvideoassistedthoracicsurgery |