Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2016 Sep;7(5):599-601.
doi: 10.1111/1759-7714.12362. Epub 2016 May 11.

Lung adenocarcinoma with anomalous bronchi and pulmonary veins preoperatively identified by computed tomography

Kouhei Tajima  1   2 , Nobuyuki Uchida  2 , Hajime Sasamoto  2 , Toshiyuki Okada  2 , Takayuki Kohri  3 , Akira Mogi  4 , Hiroyuki Kuwano  4
Affiliations
Case Reports

Lung adenocarcinoma with anomalous bronchi and pulmonary veins preoperatively identified by computed tomography

Kouhei Tajima et al. Thorac Cancer. 2016 Sep.

Abstract

A 69-year-old woman visited our hospital complaining of right chest pain. Chest computed tomography showed a 55 × 45 mm tumor in the right upper lobe. Bronchoscopy revealed displaced anomalous B 1 and B 2+3 arising from the right main bronchus, and the patient was diagnosed with lung adenocarcinoma by transbronchial lung biopsy from the displaced B 2+3 . Three-dimensional computed tomography with multiplanar reconstruction revealed a displaced anomalous B 1 and B 2+3 branching directly from the right main bronchus, respectively, and abnormal distribution of the aberrant pulmonary vein (V 2 ) descended dorsally to the right main bronchus and emptied into the left atrium. Video-assisted right upper lobectomy with nodal dissection was successfully performed. Attention should be paid to the anomalous bronchus and pulmonary vessels for safer lung cancer operations, especially for video-assisted thoracic surgery.

Keywords: Abnormal distribution of the pulmonary vein; bronchial anomaly; lung cancer.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Chest computed tomography shows a 55 × 35 mm tumor in the right upper lobe.
Figure 2
Figure 2
Three‐dimensional computed tomography revealed a displaced anomalous B1 and B2 +3, branching directly from right main bronchus.
Figure 3
Figure 3
Abnormal distribution of the aberrant pulmonary vein (V2) descended dorsally and emptied into the left atrium. (a) Front view; (b) right side view. (c) V2 (white allow) behind the right main bronchus independently drained directly into the left atrium, observed on two‐dimensional computed tomography.
See this image and copyright information in PMC

References

    1. Asai K, Urabe N, Yajima K, Suzuki K, Kazui T. Right upper lobe venous drainage posterior to the bronchus intermedius: Preoperative identification by computed tomography. Ann Thorac Surg 2005; 79: 1866–71. - PubMed
    1. Yamashita S, Goto T, Mori T et al. Video‐assisted thoracic surgery for lung cancer: Republication of a systematic review and a proposal by the guidelines committee of the Japanese Association for Chest Surgery 2014. Gen Thorac Cardiovasc Surg 2014; 62: 701–5. - PubMed
    1. Tsuboi M, Asamura H, Naruke H, Nakayama H, Kondo H, Tsuchiya R. A VATS lobectomy for lung cancer in a patient with an anomalous pulmonary vein: Report of a case. Surg Today 1997; 27: 1074–6. - PubMed
    1. Spaggiari L, Solli P, Leo F, Veronesi G, Pastorino U. Anomalous segmental vein for right upper lobe: An unusual anatomical variation. Ann Thorac Surg 2002; 74: 267. - PubMed
    1. Yurugi Y, Nakamura H, Taniguchi Y et al. Case of thoracoscopic right upper lobectomy for lung cancer with tracheal bronchus and pulmonary vein variation. Asian J Endosc Surg 2012; 5: 93–5. - PubMed

Publication types