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第40巻第4号目次 | Japanese/English |
 | Full Text of PDF (315K) Article in Japanese |
─ 症例 ─
Complete Pleuropneumonectomy for Non-Small Cell Lung Cancer Complicated with Chronic Bacterial Empyema and Cavitary Pulmonary Tuberculosis
Hiroshi Hosoda, Kenichi Atarashi*, Kazuhito Saito*, Meiyo Tamaoka* and Makoto Sunamori***Division of Thoracic Surgery, Division of Respiratory Disease, Hokushin General Hospital, Nagano, Japan, **Department of Thoracic and Cardiovascular Surgery, Tokyo Medical and Dental University Tokyo, Japan
A 62-year-old man was given a diagnosis of primary lung cancer in the right lower lobe with chronic bacterial empyema and cavitary tuberculosis in the right upper lobe. He underwent complete pleuropneumonectomy. Pathological examination revealed that the tumor was pT2N1M0 squamous cell lung cancer. There was no direct communication between the neoplasm and free pleural cavity microscopically. The empyema might have occurred secondary to obstructive pneumonia caused by the tumor involvement of the lower respiratory tract. The empyema microbe was identified as staphylococcus aureus (MSSA). Mycobacterium tuberculosis was detected from the cavitary lesion of upper lobe. His clinical course was good and no recurrence of lung cancer, empyema or pulmonary tuberculosis has been detected at 20 months after the operation.
索引用語：Non-small cell lung cancer, Pulmonary empyema, Cavitary tuberculosis, Pleuropneumonectomy
受付日：2000年3月3日
受理日：2000年5月22日
肺癌 40 (4)：301─304，2000
