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D.H. Choe
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P3.02 - Poster Session/ Treatment of Localized Disease – NSCLC (ID 211)
- Event: WCLC 2015
- Type: Poster
- Track: Treatment of Localized Disease - NSCLC
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.02-010 - Tumor Recurrence of the Chest Wall after Percutaneous Hook Wire Localization (ID 1300)
09:30 - 09:30 | Author(s): D.H. Choe
- Abstract
Background:
Increasingly, localization of small lung nodule (solid or ground glass) is needed for thoracoscopic resection of accurate diagnostic and/or curative intent. Hook wire implantation is one of important localization techniques. Meanwhile, tumor recurrence in the chest wall of the percutaneous FNA tract is well known in thoracic malignancy, particularly lung cancer.
Methods:
We report the case of a 64-year-old-man with tumor recurrence of the chest wall. Eight months earlier, he underwent hook wire-guided thoracoscopic resection of RUL nodule and further anterior segmentectomy because of intraoperative diagnosis of NSCLC (squamous cell carcinoma, pT1aN0M0 IA).
Results:
Location of the chest wall tumor was coincident with the hook wire tract. The tumor was resected en-bloc, and reported as a metastatic squamous cell carcinoma. Figure 1Figure 2
Conclusion:
To reduce the risk of the tumor recurrence related with localization techniques, thoracic surgeons had better know very well the topographical anatomy of lung and avoid an unnecessary localization technique, and the wire is recommended to be withdrawn through the VATS port rather than percutaneously. This is the first report of tumor recurrence related with hook wire localization in the PubMed search.
