{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:35:47Z","timestamp":1776087347667,"version":"3.50.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T00:00:00Z","timestamp":1633824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T00:00:00Z","timestamp":1633824000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Pulmonary spindle cell carcinoma (PSCC) is an extremely rare tumor that is highly malignant and fast-growing. As chemotherapy and radiation therapy are ineffective, early surgical resection is effective for PSCC.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 70-year-old woman with rheumatoid arthritis was referred to our hospital with an abnormal shadow. Chest computed tomography revealed a 33-mm-wide lobular mass in the right upper lobe. She was diagnosed with non-small cell lung cancer by bronchoscopic smear cytology. Although staging evaluation indicated stage IIIB (T3N2M0) disease, she required continued administration of immunosuppressants and prednisolone for rheumatoid arthritis. Therefore, robot-assisted thoracoscopic surgery (RATS) right upper lobectomy followed by lymph node dissection was performed without preoperative chemotherapy and radiotherapy. Pathological findings revealed PSCC.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We report a very rare case of pulmonary spindle cell carcinoma, successfully resected with RATS.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01305-5","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T21:51:25Z","timestamp":1633902685000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Surgical resection of a rapidly growing pulmonary spindle cell carcinoma by robot-assisted thoracoscopic surgery: a case report"],"prefix":"10.1186","volume":"7","author":[{"given":"Akihiro","family":"Koen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoji","family":"Nagashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Kanzaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,10,10]]},"reference":[{"key":"1305_CR1","volume-title":"WHO classification of tumours of the lung, pleura, thymus and heart","author":"WD Travis","year":"2015","unstructured":"Travis WD, Brambilla E, Burke AP, Marx A, Nicholson AG. 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Haigan (Jpn J Lung Cancer). 2010;50:178\u201385.","journal-title":"Haigan (Jpn J Lung Cancer)."},{"issue":"814","key":"1305_CR4","first-page":"19","volume":"51","author":"M Satoh","year":"2011","unstructured":"Satoh M, Wakabayashi O, Araya Y, Yoshida F, Jinushi E, Ishidate T. An autopsy case of pulmonary spindle-cell carcinoma with metastases to the stomach. Haigan (Jpn J Lung Cancer). 2011;51(814):19.","journal-title":"Haigan (Jpn J Lung Cancer)."},{"key":"1305_CR5","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007129","volume":"96","author":"DJ Qi","year":"2017","unstructured":"Qi DJ, Liu B, Feng L, Zhao L, Yan P, Du J, et al. Pulmonary spindle cell carcinoma with unusual morphology. Medicine. 2017;96: e7129.","journal-title":"Medicine"},{"key":"1305_CR6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.humpath.2016.08.003","volume":"59","author":"A Weissferdt","year":"2017","unstructured":"Weissferdt A, Kalhor N, Canales JR, Fujimoto J, Wistuba II, Moran CA. Spindle cell and pleomorphic (\u201csarcomatoid\u201d) carcinomas of the lung: an immunohistochemical analysis of 86 cases. Hum Pathol. 2017;59:1\u20139.","journal-title":"Hum Pathol"},{"key":"1305_CR7","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.2482\/haigan.55.1008","volume":"55","author":"K Yokota","year":"2015","unstructured":"Yokota K, Kitagawa S, Saito Y, Taki S, Sugino Y, Yamakawa Y. A case of pulmonary spindle cell carcinoma showing a rapid progression into the pulmonary vein with early recurrence following complete resection. Haigan (Jpn J Lung Cancer). 2015;55:1008\u201313.","journal-title":"Haigan (Jpn J Lung Cancer)."},{"key":"1305_CR8","unstructured":"Classification of the lung cancer. 8th Ed. The Japan Lung Cancer Society. Tokyo: Kanehara Publishing; 2017."},{"key":"1305_CR9","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1002\/(SICI)1097-0142(19990815)86:4<608::AID-CNCR9>3.0.CO;2-1","volume":"86","author":"M Nakajima","year":"1999","unstructured":"Nakajima M, Kasai T, Hashimoto H, Iwata Y, Manabe H. Sarcomatoid carcinoma of the lung: a clinicopathologic study of 37 cases. Cancer. 1999;86:608\u201316.","journal-title":"Cancer"},{"key":"1305_CR10","doi-asserted-by":"publisher","first-page":"810","DOI":"10.2995\/jacsurg.21.820","volume":"21","author":"M Tamura","year":"2007","unstructured":"Tamura M, Iwasaki T, Nakagawa K, Katsura H, Nakane S. A case of lung spindle cell carcinoma who died from recurrence 5 months after complete resection. Jpn J Chest Surg. 2007;21:810\u201324.","journal-title":"Jpn J Chest Surg"},{"key":"1305_CR11","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1016\/j.athoracsur.2016.03.032","volume":"102","author":"BE Louie","year":"2016","unstructured":"Louie BE, Wilson JL, Kim S, Cerfolio RJ, Park BJ, Farivar AS, et al. Comparison of VATS and robotic approaches for clinical stage I and stage II non-small cell lung cancer using the STS database. Ann Thorac Surg. 2016;102:917\u201324.","journal-title":"Ann Thorac Surg"},{"key":"1305_CR12","first-page":"S122","volume":"7","author":"G Veronesi","year":"2015","unstructured":"Veronesi G. Robotic lobectomy and segmentectomy for lung cancer: results and operating technique. J Thorac Dis. 2015;7:S122\u201330.","journal-title":"J Thorac Dis"},{"key":"1305_CR13","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1007\/s00595-019-01793-x","volume":"49","author":"M Kanzaki","year":"2019","unstructured":"Kanzaki M. Current status of robot-assisted thoracoscopic surgery for lung cancer. 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All other authors have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"222"}}