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Vol.40 No.3 contents | Japanese/English |
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- Case Report -
A Case of Lung Cancer Arising from an Emphysematous Bulla with Chest Wall Invasion
Norihiko Ishikawa, Toshihiko Hashizume*, Toshihiro Ishikawa, Yushi Kawase and Shigeharu SawaDepartment of Thoracic and Cardiovascular Surgery, Yokohama Sakae Kyousai Hospital, *Department of Internal Medicine, Yokohama Sakae Kyousai Hospital
Background: Lung cancer arising from the wall of bulla is rare. Case: A 63-year-old man was admitted complaining of back pain and hemosputum. His chest CT and MRI revealed an emphysematous bulla with a thickened wall in the right lower lobe and a chest wall mass involving the 7th and 8th ribs. Percutaneous aspiration cytology revealed malignant cells and percutaneous biopsy suggested large cell carcinoma of the lung. Right lower lobectomy with chest wall resection and lymph node dissection was performed. The pathological diagnosis was a poorly differentiated squamous cell carcinoma arising from the wall of the bulla (p-T3N0M0 stage IIB). Radiation therapy was started after the operation and the patient has been doing well for five months without a sign of recurrence. Conclusion: We report a case of squamous cell carcinoma arising from an enphysematous bulla with chest wall invasion.
key words: Lung cancer, Emphysematous bulla, Chest wall invasion
Received: December 28, 1999
Accepted: March 13, 2000
JJLC 40 (3): 231-235, 2000
