2023 World Conference on Lung Cancer (Posters)-EP13.02. Minimally Invasive Surgery for Endobronchial Small Cell Lung Carcinoma following Neoadjuvant Chemotherapy

EP13.02. Minimally Invasive Surgery for Endobronchial Small Cell Lung Carcinoma following Neoadjuvant Chemotherapy - PDF(Abstract)

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This summary describes a case report presented at the WCLC 2023 conference on small cell lung cancer and neuroendocrine tumors. The report focuses on the use of minimally invasive surgery for endobronchial small cell lung carcinoma following neoadjuvant chemotherapy.<br /><br />The report presents two cases of surgical management using video-assisted thoracic surgery (VATS) for early stage small cell lung carcinomas involving the bronchus. The first case involved a 60-year-old male with a 4.2 cm central tumor causing complete atelectasis. The second case involved a 67-year-old female with a small tumor close to the origin of the left lower lobe bronchus. Both patients underwent staging tests with negative results for metastatic disease.<br /><br />In the first case, the patient received two cycles of preoperative chemotherapy and underwent a thoracoscopic right upper sleeve lobectomy and mediastinal lymph node dissection. The final histology showed no residual cancer and the patient recovered well. In the second case, the patient also received two cycles of preoperative chemotherapy and had a thoracoscopic left lower lobectomy. The final histology also showed no residual cancer and the patient had an uneventful recovery.<br /><br />The report concludes that limited-stage small cell lung carcinomas with a bronchial component are rare, but an aggressive multimodality approach can be beneficial. Minimally invasive surgery, even in complex cases such as sleeve lobectomy with bronchial anastomosis, can offer advantages in postoperative recovery without compromising oncological principles. The report also highlights the importance of avoiding pneumonectomy when possible to reduce postoperative complications.<br /><br />Overall, this case report demonstrates the effectiveness of minimally invasive surgery following neoadjuvant chemotherapy for endobronchial small cell lung carcinoma.

Asset Subtitle

Konstantinos Konstantinidis

Meta Tag

Speaker Konstantinos Konstantinidis

Topic SCLC & Neuroendocrine Tumors: Case Report

Keywords

WCLC 2023

small cell lung cancer

neuroendocrine tumors

minimally invasive surgery

endobronchial small cell lung carcinoma

neoadjuvant chemotherapy

video-assisted thoracic surgery

VATS

sleeve lobectomy

bronchial anastomosis