PDF(Pubmed)
Abstract：
BACKGROUND: It is very common for patients with newly diagnosed lung masses to have heart disease. However, papillary fibroelastomas (PFEs) of the tricuspid valve (TV) combined with lung cancer are rarely reported. It is thus unclear whether a two-stage surgery or concomitant surgery is optimal.
METHODS: We report the case of a 73-year-old Chinese male who was diagnosed with PFEs on the TV by transthoracic echocardiography (TTE) examination while being evaluated to undergo video-assisted thoracic surgery (VATS) for a right lower lung nodule. We resected both the PFEs and the lung nodule via right minithoracotomy. The surgery was uneventful, and histopathology reports confirmed PFEs of the TV and moderately to poorly differentiated squamous cell carcinoma. The patient recovered uneventfully, and there was no sign of tumor recurrence during 15 months of follow-up.
CONCLUSIONS: We suggest that after careful evaluation, concomitant minimally invasive radical resection of primary lung cancer after cardiac PFE removal is an acceptable and safe treatment strategy and should be performed as soon as possible.
METHODS: We report the case of a 73-year-old Chinese male who was diagnosed with PFEs on the TV by transthoracic echocardiography (TTE) examination while being evaluated to undergo video-assisted thoracic surgery (VATS) for a right lower lung nodule. We resected both the PFEs and the lung nodule via right minithoracotomy. The surgery was uneventful, and histopathology reports confirmed PFEs of the TV and moderately to poorly differentiated squamous cell carcinoma. The patient recovered uneventfully, and there was no sign of tumor recurrence during 15 months of follow-up.
CONCLUSIONS: We suggest that after careful evaluation, concomitant minimally invasive radical resection of primary lung cancer after cardiac PFE removal is an acceptable and safe treatment strategy and should be performed as soon as possible.
摘要：
背景：新诊断的肺部肿块患者患有心脏病是很常见的。然而,很少报道三尖瓣（TV）的乳头状纤维弹性瘤（PFEs）合并肺癌。因此，尚不清楚两阶段手术或伴随手术是否是最佳的。
方法：我们报告了一例73岁的中国男性，通过电视经胸超声心动图（TTE）检查被诊断为PFE，同时评估接受电视胸腔镜手术（VATS）治疗右下肺结节。我们通过右侧小切口切除了PFE和肺结节。手术很顺利,组织病理学报告证实了电视和中度至低分化鳞状细胞癌的PFE。病人恢复顺利，在15个月的随访中没有肿瘤复发的迹象。
结论：我们建议经过仔细评估，心脏PFE摘除后同时进行的原发性肺癌微创根治术是一种可接受且安全的治疗策略,应尽快进行.
方法：我们报告了一例73岁的中国男性，通过电视经胸超声心动图（TTE）检查被诊断为PFE，同时评估接受电视胸腔镜手术（VATS）治疗右下肺结节。我们通过右侧小切口切除了PFE和肺结节。手术很顺利,组织病理学报告证实了电视和中度至低分化鳞状细胞癌的PFE。病人恢复顺利，在15个月的随访中没有肿瘤复发的迹象。
结论：我们建议经过仔细评估，心脏PFE摘除后同时进行的原发性肺癌微创根治术是一种可接受且安全的治疗策略,应尽快进行.
