PMC8803630_01
Uniportal VATS secondary carinal resection and reconstruction for tracheobronchial mucoepidermoid carcinoma. Contrast-enhanced CT of the chest showed a 1.5 x 1.2 cm endobronchial nodule of the right bronchus intermedius (see arrow, A) and a 5.1 x 3.1 cm patchy lesion centrally located at the left upper lobe (B). (C) Postoperative pathology confirmed the diagnosis of the well-differentiated mucinous epidermoid carcinoma. (D) Gross appearance of the endobronchial mass. (E) Contrast-enhanced CT of the chest at the 6-month postoperative follow-up showed resolution of tuberculosis lesion in the left upper lobe. (F) CT bronchography at the 6-month postoperative follow-up showed no bronchial stenosis of the right lung.
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F1
A 42-year-old asymptomatic male patient received thoracic CT scans on a routine health examination at a local hospital in February 2021 with an incidental finding of a 1.5 x 1.2 cm endobronchial nodule of the right bronchus intermedius and a 5.1 x 3.1 cm patchy lesion centrally located at the left upper lobe (Figure 1).
The schematic illustration of right secondary carinal resection and reconstruction.
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F2
Considering the patient's 30-year history of bronchial asthma (manifested as wheezing sounds in both lungs) and the fact that lung parenchymal resection might lead to decreased quality of life, the patient underwent a single-port thoracoscopic tumor resection, reconstruction of the secondary carina and systemic lymph node dissection (including stations 2, 4, 7, 9, 10, 11, 12) in March 2021 (Figure 2).