肺动脉封闭后免疫治疗节阳性肺癌的肺动脉封闭
Makoto Tada1, Hirofumi Uehara1, Takeshi Ohyu1,2
1Department of Thoracic Surgery, Hakodate Goryoukaku Hospital, Hakodate, Japan.
Thoracic cancer
|June 20, 2023
概括
针对肺癌的免疫检查点抑制剂治疗可以导致肺动脉封闭. 外科医生必须在进行肺切除手术之前意识到这些潜在的血管变化.
科学领域:
- 在瘤学瘤学.
- 心血管外科心血管外科
- 肺部病理学 肺部病理学
背景情况:
- 免疫检查点抑制剂 (ICI) 越来越多地用于非小细胞肺癌 (NSCLC).
- 在ICI治疗后发生的血管并发症很少见,但显著.
- 在这种情况下,肺动脉变化没有得到广泛报道.
研究的目的:
- 在NSCLC患者接受ICI治疗后报告肺动脉封闭病例.
- 强调手术准备在肺切除过程中应对血管并发症的重要性.
主要方法:
- 一个69岁的男性患有NSCLC的病例报告.
- 患者在挽救肺切除之前接受了ICI治疗.
- 描述了手术发现和手术程序.
主要成果:
- 肺动脉封闭在转移性淋巴结附近被确定.
- 在没有分裂肺血管的情况下进行了成功的切除.
- 患者在没有并发症的情况下出院.
结论:
- 在NSCLC患者中,ICI治疗可能导致肺动脉封闭.
- 外科医生必须预见并管理ICI治疗后潜在的血管变化.
- 意识到这些变化对于胸部手术期间的患者安全至关重要.
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