気管支動脈塞栓により安全に軟性気管支鏡下摘出診断しえた気管支粘表皮癌

Surgical Case of Bronchial Mucoepidermoid Carcinoma Safely Diagnosed by Enucleation Under the Bronchoscopy After Bronchial Arterial Embolization

粘表皮癌は若年者に多くみられ，術前診断がむずかしいことが多い．われわれは気管支動脈塞栓により術前に安全に組織診断を行い，気管支の環状切除で切除しえた1例を経験したので報告する．

A 28-year-old male presented to our hospital with hemoptysis and his chest computerized tomography （CT） showed the right middle and lower lobe atelectasis due to the tumor of right intermediate bronchial trunk. To reduce the blood flow to the tumor, bronchial arterial embolization was performed and the tumor was resected using Cryoprobe with a flexible endobronchial scope. Thus, we could observe the tumor localization and diagnose before the surgical procedure. We performed the right sleeve middle lobectomy and the right lower lobe was safely preserved.