Pulmonary dissemination of tumor cells after extended resection of thyroid carcinoma with cardiopulmonary bypass

Hasegawa, Seiki; Otake, Yosuke; Bando, Toru; Cho, Hiroyuki; Inui, Kentaro; Wada, Hiromi

doi:10.1067/mtc.2002.125060

Cited by 34 publications

(27 citation statements)

References 4 publications

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“…In addition, cardiac surgery with cardiopulmonary bypass may cause spread and dissemination of coexisting lung cancer. 5,6) The efficacy of TAVI is similar to that of surgery, 1) and it has fewer disadvantages with respect to the growth of coexisting lung cancer after therapy than cardiac surgery because TAVI requires a shorter recovery period until patients can undergo subsequent pulmonary resection than cardiac surgery. In fact, in the present patient, the period between TAVI and pulmonary resection was only 3 weeks, whereas the second surgery should be performed more than 6 weeks after the cardiac surgery with cardiopulmonary bypass whenever possible.…”

Section: Discussionmentioning

confidence: 96%

Pulmonary Resection for Lung Cancer Following Transcatheter Aortic Valve Implantation for Severe Aortic Valve Stenosis: A Case Report

Komatsu

Izumi

Tsukioka

et al. 2020

ATCS

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IntroductionThe therapeutic strategy for lung cancer in patients with severe valvular heart disease is controversial. We herein report a patient who successfully underwent pulmonary resection for lung cancer following transcatheter aortic valve implantation (TAVI) for severe aortic valve stenosis (AS). An 82-year-old woman was referred to our hospital because of dyspnea on effort. Echocardiography revealed severe aortic valve stenosis (AS). Simultaneously, chest computed tomography (CT) revealed a 19-mm nodule in the lower lobe of the right lung, and bronchoscopic biopsy revealed adenocarcinoma. She underwent transcatheter aortic valve implantation (TAVI) for severe AS. Three weeks later, she underwent lower lobectomy of the right lung and mediastinal dissection for the lung cancer. Her postoperative course was good, and she was discharged 8 days postoperatively. In conclusion, we encountered a patient who successfully underwent pulmonary resection for lung cancer following TAVI for severe AS. We suggest that pulmonary resection following TAVI is an acceptable choice for lung cancer in patients with severe AS because of the lack of a need for cardiopulmonary bypass, the high safety and efficacy of two-stage therapy, and the short period between the two therapies. Pulmonary Resection for Lung Cancer

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Section: Discussionmentioning

confidence: 96%

Pulmonary Resection for Lung Cancer Following Transcatheter Aortic Valve Implantation for Severe Aortic Valve Stenosis: A Case Report

Komatsu

Izumi

Tsukioka

et al. 2020

ATCS

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“…They also reviewed six such cases reported before 1940, all of which resulted in death as a direct result of the vascular occlusion shortly after diagnosis. We reviewed 19 cases of SVC involvement from DTC, reported since the review by Thompson et al [4,5,[9][10][11][12][13][14][15][16][17][18][19][20] (Table 1). The age of the patients ranged from 26 to 84 years (average 65 years), and there were 4 men and 15 women, with no predominance in laterality.…”

Section: Discussionmentioning

confidence: 99%

“…Several successful operations for poorly DTC [13,15,18,20] or Hurthle cell carcinoma [21] have been reported, even when the surgical indications might have been limited because of its invasive nature. Rapid progression of the disease with systemic dissemination after surgery for ATC [7,8], and for PTC possibly transformed to ATC [14], have been reported. Therefore, the surgical indications must be considered carefully for patients with poorly differentiated thyroid cancer or ATC with SVC involvement.…”

Section: Discussionmentioning

confidence: 99%

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Successful surgical treatment of advanced follicular thyroid carcinoma with tumor thrombus infiltrating the superior vena cava: report of a case

et al. 2011

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We report a case of advanced follicular thyroid carcinoma with massive involvement of the great veins of the cervix and mediastinum, and extensive tumor thrombus growing intraluminally into the superior vena cava. The patient, a 70-year-old Japanese woman, was treated successfully by a cooperative surgical team of endocrine and cardiovascular surgeons. Total thyroidectomy with thrombectomy was performed via a minimum phlebotomy in the right brachiocephalic vein, sacrificing only the right internal jugular vein, achieving complete primary tumor resection. She recovered quickly without any complications, and received (131)I radioisotope ablation for her multiple lung metastases. At the time of writing, more than 12 months after surgery, she was well. These treatments thus achieved progression-free survival without impairing her quality of life. Following the case report, we discuss the surgical indications for locally advanced thyroid carcinoma involving the great veins of the mediastinum by reviewing previous reports.

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“…The risk of bleeding can be minimized by only partial heparinization with activated clotting times (ACTs) targets between 160-180 seconds. The theoretical spread of tumor cells is neglectable, since ECMO is a closed system and suctioned blood can be discarded (53). There are several institutional reports on the use of ECLS for extended, oncological airway procedures including carinal resections/ reconstructions (8,17,28) and extended (crico-)tracheal resections (20,26,54,55).…”

Section: Ecls In Oncological Surgerymentioning

confidence: 99%

Extracorporeal support in airway surgery

Höetzenecker¹,

Klepetko²,

Keshavjee³

et al. 2017

J. Thorac. Dis.

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Extracorporeal life support (ECLS) is increasingly used for major airway surgery. It facilitates complex reconstructions and maintains gas exchange during endoscopic procedures in patients with critical airway obstruction. ECLS offers the advantage of an uncluttered surgical field and eliminates the need for crossing ventilation tubes, thus, making precise surgical dissection easier. ECLS is currently used for hemodynamic and respiratory support in lung transplantation as well as extended tumor resections with an acceptable risk profile. This work reviews the published experience of ECLS in airway surgery both in adults and in pediatric patients. It highlights currently available devices and their indications.

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Pulmonary dissemination of tumor cells after extended resection of thyroid carcinoma with cardiopulmonary bypass

Cited by 34 publications

References 4 publications

Pulmonary Resection for Lung Cancer Following Transcatheter Aortic Valve Implantation for Severe Aortic Valve Stenosis: A Case Report

Pulmonary Resection for Lung Cancer Following Transcatheter Aortic Valve Implantation for Severe Aortic Valve Stenosis: A Case Report

Successful surgical treatment of advanced follicular thyroid carcinoma with tumor thrombus infiltrating the superior vena cava: report of a case

Extracorporeal support in airway surgery

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