Abstract
A 58-year-old male was referred to the Hokushin General Hospital because a routine chest X-ray showed abnormal findings. Bronchoscopy showed a tumor occluding the right upper lobe bronchus and an invasive lesion in the right lower portion of the trachea. The pathological examination revealed squamous cell carcinoma. The lesion in the lower portion of the trachea was presumed to be a metastasis of the primary tumor in the right upper lobe bronchus. After the primary tumor and the metastatic lesion were reduced by bronchial artery infusion of cisplatin, the patient was referred to our hospital for surgery. A right upper lobectomy with tracheobronchial wedge resection between the right lower end of the trachea and the proximal end of the truncus intermedius was performed. The postoperative course was uneventful and there was no stenosis of the anastomotic site. It was reported that an extensive bronchial wedge resection might cause stenosis or bending of the anastomosis. However, in our case, we succeeded in making a large orifice for the anastomosis because one area of the anastomosis included the lower portion of the trachea. It is of interest that malignant cells were identified pathologically only in the lymph nodes around the upper lobe bronchus after the bronchial artery infusion.
