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Updated: Aug 5, 2026
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Robotic Pancreatoduodenectomy for Pancreatic Head Cancer: a Case Report of a Standardized Technique
Published on: June 24, 2022
[Surgically treated pancoast tumor]
1First Department of Surgery, Showa University School of Medicine, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|November 14, 2002
Summary
Early lung cancer detection is crucial for timely treatment. This case highlights delayed diagnosis of an apical lung tumor, leading to advanced disease and poor outcomes despite aggressive therapy.
Area of Science:
- Thoracic oncology
- Surgical oncology
Background:
- A 40-year-old male presented with delayed diagnosis of a right apical lung tumor.
- Initial symptoms of chest, back, and arm pain were attributed to orthopedic issues.
Observation:
- Roentgenographic screening revealed an apical lung tumor in January 1997, but the patient remained asymptomatic and did not seek medical attention.
- Tumor progression was noted on subsequent screening in January 1998, prompting hospital admission.
Findings:
- Bronchofiberscopy-guided biopsy confirmed adenocarcinoma.
- Induction radiotherapy (40 Gy) followed by right upper lobectomy with chest wall resection and lymph node dissection was performed.
- The hook approach facilitated dissection of the tumor from the invaded brachial plexus.
Implications:
- Despite aggressive multimodal treatment including postoperative radio-chemotherapy, the patient succumbed to multiple metastases within seven months.
- This case underscores the critical importance of early lung cancer detection and prompt therapeutic intervention for improved patient prognosis.
