Respir Case Rep. 2021; 10(2): 119-121 | DOI: 10.5505/respircase.2021.57431

Azigos Lob, Akciðer Kanseri ve Amfizematöz Akciðerin Birlikte Olduðu Hastada Video Yardýmlý Torakoskopik Cerrahi ile Üst Lobektomi

Tayfun Kermenli¹, Cebrail Azar^2
1Ýstanbul Aydýn Üniversitesi, Göðüs Cerrahisi Bölümü, Ýstanbul
²Medicalpark Elazýð Hastanesi, Göðüs Hastalýklarý Kliniði, Elazýð

Azigos lob ile birlikte küçük hücreli dýþý akciðer kanserinin varlýðý nadiren bildirilmiþtir. KOAH ve amfizematöz akciðer hastalýðý nedeniyle takip edilen hastamýzda sað üst lobda azigos lob anomalisi ve küçük hücreli dýþý akciðer kanseri saptandý. EBUS ile biyopsi sonucu yassý epitel hücreli kanser olarak rapor edildi. PET-BT ve Kraniyal MR ile yapýlan evrelemede uzak metastaz saptanmadýðýndan hastaya video yardýmlý torakoskopik cerrahi ile sað üst lobektomi ve mediastinal lenf nodu diseksiyonu yapýldý. Hastamýzda da olduðu gibi Azigos lob, bazý torasik cerrahi giriþimler açýsýndan kýsýtlamalar oluþturmaktadýr, ancak bu olgu raporu, bu hastalarda video yardýmlý torakoskopik cerrahi ile üst lobektominin güvenle yapýlabilceðini göstermiþtir.

Anahtar Kelimeler: Azigoz lobu, akciðer kanseri, amfizematöz akciðer, video yardýmlý torakoskopik cerrahi, üst lobektomi.

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Upper Lobectomy with Video-assisted Thoracoscopic Surgery in a Patient with Azygos Lobe, Lung Cancer and Emphysematous Lung

Tayfun Kermenli¹, Cebrail Azar^2
1Department of Thoracic Surgery, Ýstanbul Aydýn University, Ýstanbul, Turkey
²Department of Chest Diseases, Medicalpark Elazýð Hospital, Elazýð, Turkey

Reports of the presence of non-small cell lung cancer along with Azygos lobe are rare in literature. The patient in the present study was being followed up for COPD and emphysematous lung disease, and an azygos lobe anomaly and non-small cell lung cancer detected in the right upper lobe. The biopsy result with EBUS was reported as squamous-cell cancer. Since no distant metastasis was detected in the staging, performed using PET-CT and Cranial MR, the patient underwent a right upper lobectomy and mediastinal lymph node dissection through “Video-Assisted Thoracoscopic Surgery”. As was the case in our patient, the azygos lobe can restrict some thoracic surgical interventions, but this case report showed that in such patients, an upper lobectomy can be performed safely through video-assisted thoracoscopic surgery.

Keywords: Azygos lobe, lung cancer, emphysematous lung, video-assisted thoracoscopic surgery, upper lobectomy.

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