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Vol.38 No.1 contents | Japanese/English |
- Case Report -
A Case of Lung Cancer Arising from an Emphysematous Bullae and Invading the Chest Wall
Atsushi Morio2, Kouzou Sakaguti1, Toshirou Futagawa1, Enjo Hata1, Hideaki Miyamoto2 and Sigeru Tominaga31Department of Chest Surgery, Mitsui Memorial Hospital, 2Department of Chest Surgery, Juntendo University School of Medicine, 3Department of internal medicine, Juntendo University School of Medicine
A 38-year-old woman with bilateral pulmonary bullae had been followed in another hospital since 1986. She had right chest pain and hemoptysis, and chest x-ray revealed a mass in the right upper lobe in December 1995. Percutaneous lung biopsy failed to obtain sufficient tissue for diagnosis, which suggested the possibility of poorly differentiated adenocarcinoma of the lung. On the other hand, roentgenographic findings suggested the possibility of a tumor arising from the chest wall. Thoracoscopy revealed the infiltration of lung cancer into the chest wall. Resection of the right upper and middle lobes and the invaded chest wall as well as R2b dissection was performed. The lesion, which originated from the wall of a pulmonary bulla, spread by filling inside the bulla and infiltrated into the chest wall. The pathological diagnosis was a poorly differentiated adenocarcinoma of lung (pT3N0M0-stage IIIA). In addition to this case, 12 patients with resected lung cancers arising from pulmonary bullae in our hospital were reviewed.
key words: Lung cancer, Emphysematous bullae
Received: March 3, 1997
Accepted: October 28, 1997
JJLC 38 (1): 37-42, 1998
