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Vol.55 No.3 contents | Japanese/English |
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- Case Report -
A Patient Who Underwent Resection of Squamous Cell Lung Cancer Which Arose in a Previously Irradiated Field of Small Cell Lung Cancer (SCLC)
Shin Tanaka1, Tsuyoshi Ueno1, Hiroshi Suehisa1, Shigeki Sawada1, Toshiyuki Kozuki2, Motohiro Yamashita11Department of Thoracic Surgery, 2Department of Thoracic Oncology and Medicine, National Hospital Organization Shikoku Cancer Center, Japan
Background. Recently, long-term surviving patients with small cell lung cancer have been increasing owing to improvements in combined modality therapy. Subsequently, however, an increasing number of second primary malignancy cases have been reported. Case. A 77-year-old man with an abnormal shadow on chest X-rays was referred to our hospital. Further examination revealed that he had small cell lung cancer (cT1aN3M0, Stage IIIB). The patient received four courses of chemotherapy (cisplatin and etoposide) and concurrent radiotherapy (46 Gy). After 11 years without any recurrence since starting the chemoradiotherapy, he complained of productive cough and back pain. CT scans and a transbronchial lung biopsy revealed new tumors in the right upper lobe (cT2aN0M0, cStage IB), left upper lobe (cT1aN0M0, cStage IA) and larynx (cT1N0M0, cStage IA). With a diagnosis of second primary lung cancers, we first of all performed a right upper lobectomy (pT4N0M0, Stage IIIA). Due to the patient's postoperative deterioration of his pulmonary function, the left lung and laryngeal cancers were treated with radiotherapy (66 Gy each). Conclusion. We reviewed the therapeutic strategy followed for the present case by referring to previous case reports, and suggest further improvements to be made when treating such cases.
key words: Small cell lung cancer (SCLC), Second primary cancer, Lobectomy after chemoradiotherapy
Received: March 7, 2015
Accepted: May 17, 2015
JJLC 55 (3): 171-175, 2015
