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- W2592420020 abstract "背景．一般的に70歳以上の高齢症例に対する肺全摘術は特に慎重に適応を決定する必要があるが，臨床の現場では肺全摘術でしか救命できない症例にも遭遇する．今回我々は，進行肺門部肺癌に起因する急性呼吸不全を発症した80歳男性に対して，oncological emergencyと診断し，緊急左肺全摘術を施行して劇的に症状を改善した1例を経験したので報告する．症例．80歳，男性．2015年12月，呼吸苦と左胸部鈍痛を主訴に近医を受診した．胸部単純X線写真で左肺野に巨大な腫瘤様陰影を認めたため，当院に緊急搬送された．胸部CT所見でも左胸腔内を占拠する巨大な腫瘤性病変を認めたため，局所進行肺門部肺癌を強く疑った．明らかな遠隔転移は認めず，主訴の原因は左胸腔内巨大腫瘤による急性呼吸不全と考え，oncological emergency caseと診断し，緊急的に左肺全摘術を施行した．術後経過は良好で第7病日に軽快退院となった．結論．Oncological emergency caseにおいては，70歳以上の高齢者に対しても肺全摘術は適応となり得る．" @default.
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- W2592420020 date "2017-01-01" @default.
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- W2592420020 title "A Case in Which Left Pneumonectomy Was Required in an Octogenarian with an Oncological Emergency due to Locally Advanced Primary Lung Cancer" @default.
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- W2592420020 doi "https://doi.org/10.2482/haigan.57.12" @default.
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