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Vol.59 No.2 contents | Japanese/English |
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- Case Report -
A Case of Salvage Surgery for Small Cell Lung Cancer That Locally Relapsed Five Years After Complete Remission
Masatoshi Kanayama1, Toshihiro Osaki1, Yukiko Fukuichi1, Kenichi Kobayashi1, Manabu Yasuda1, Tomoko So11Department of Chest Surgery, Iizuka Hospital, Japan
Background. The majority of deaths in long-surviving small cell lung cancer patients are due to second primary cancer, and there are very few reports of late recurrence. Case. An 80-year-old woman with limited disease small cell lung cancer originating from the left lower lobe received concurrent chemo-radiotherapy and achieved complete remission. She was subsequently followed up without further treatment, but 5 years after achieving complete remission, a tumor 30 mm in size was detected near the same site of the previous small cell lung cancer. As we were unable to obtain a definitive diagnosis by a bronchoscopic approach, we suspected the lesion to be a second cancer or late local relapse, and surgery (left lower lobectomy and lymph node dissection) was performed for the diagnosis and treatment. The pathological diagnosis was combined small cell carcinoma with large cell carcinoma, and we diagnosed her with late local recurrence of small cell lung carcinoma based on the tumor site and pathological findings, including immunostaining. Conclusion. We encountered a rare case of salvage surgery for small cell lung cancer that locally relapsed 5 years after complete remission.
key words: Complete remission, Local recurrence, Small cell lung cancer, Salvage surgery
Received: December 7, 2018
Accepted: February 4, 2019
JJLC 59 (2): 163-167, 2019
