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Vol.38 No.2 contents | Japanese/English |
- Case Report -
Pulmonary Resection after Pneumonectomy in Three Patients with Lung Cancer
Shuhei Inoue, Noriaki Tezuka, Satoru Sawai, Takaaki Konishi, Keiichi Kontani and Shozo FujinoThe Second Department of Surgery, Shiga University of Medical Science
Three patients (two men aged 58 and 56 and a woman aged 33) with previous pneumonectomy for lung cancer underwent an additional resection because of a second primary lung cancer (both men) or pulmonary metastasis (the woman) in the remaining lung. The second pulmonary resection was wedge excision, and in one case, a third resection, segmentectomy was performed. The primary lung cancer site, histology, stage, interval between the first and second operation, and the histology of the second cancer were as follows: left, left, right; squamous cell carcinoma, large cell carcinoma, well differentiated fetal adenocarcinoma (WDFA); pT2N0M0, pT2N2M0, pT2N1M0; 81-, 98-, 24-months; large cell carcinoma, adenocarcinoma and WDFA. All patients are now living after the second operation: one has no evidence of disease (42 months), one has pleuritis carcinomatosa (12months), and the other had segmentectomy 13 months after the second operation and is now disease free (17 months). It is evident that pulmonary resection after pneumonectomy is feasible with a low operation mortality, and that resection of these secondary tumors can result in prolonged, worthwhile survival.
key words: Lung cancer, Pneumonectomy, Contralateral lung resection, Residual lung function
Received: December 15, 1997
Accepted: February 17, 1998
JJLC 38 (2): 167-170, 1998
