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Vol.37 No.7 contents | Japanese/English |
- Case Report -
A Case of Long-term Survival after Resection of Primary Lung Adenocarcinoma with Mediastinal Lymph Node Metastasis in Adolescence
Makoto Sawafuji, Haruhisa Matsuguma, Kohei Yokoi, George Imura* and Naoto Miyazawa**Division of Thoracic Surgery, Tochigi Cancer Center, *Division of Pathology, Tochigi Cancer Center, **Department of Surgery, Hiratsuka City Hospital
We report a case of long-term survival of an adolescent patient with primary lung adenocarcinoma accompanied by mediastinal lymph node metastasis. A 15-year-old girl was referred to our hospital because an abnormal shadow had been detected on her annual screening chest X-ray film. Chest CT showed a mass in the left S8 area of the lung without hilar or mediastinal lymphadenopathy. Cytologic examination of the specimen obtained by fiberoptic bronchoscopy revealed adenocarcinoma. Left lower lobectomy with mediastinal lymph node dissection was performed in August, 1989. Pathologic examination of the resected specimen demonstrated moderately differentiated adenocarcinoma of tubular type (acinar adenocarcinoma) of the lung and metastasis in a subcarinal lymph node. No postoperative adjuvant therapy was administered. She is currently well 8 years after operation. According to our review of the literature in Japan, this is the first long-term survival of adolescent patient with primary lung cancer associated with mediastinal lymph node involvement.
key words: Primary lung cancer in childhood, Primary lung cancer in adolescence, Adenocarcinoma, Mediastinal lymph node metastasis
Received: September 10, 1997
Accepted: October 28, 1997
JJLC 37 (7): 1047-1051, 1997
