Primary Pulmonary Amyloidosis with Mediastinal Lymphadenopathy
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 218-220, 2016.
Article
in English
| WPRIM
| ID: wpr-26607
ABSTRACT
We report a case of inadvertent hoarseness after surgery for primary pulmonary amyloidosis. A 55-year-old male was transferred to our facility due to a lung mass. Chest computed tomography revealed a solitary pulmonary nodule. Positron emission tomography-computed tomography showed fluorodeoxyglucose uptake in the main mass and in the mediastinal lymph nodes. To confirm the pathology of the mass, wedge resection and thorough lymph node dissection were performed via video-assisted thoracic surgery (VATS). No complications except for hoarseness were observed; hoarseness developed soon after surgery and lasted for 3 months. The main mass was diagnosed as amyloidosis, but this was not found in the lymph nodes. In conclusion, VATS wedge resection for peripheral amyloidosis is a feasible and safe procedure. However, mediastinal lymph node dissection is not recommended unless there is evidence of a clear benefit.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Thorax
/
Hoarseness
/
Solitary Pulmonary Nodule
/
Thoracic Surgery, Video-Assisted
/
Electrons
/
Amyloidosis
/
Lung
/
Lymph Node Excision
/
Lymph Nodes
Limits:
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2016
Type:
Article
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