CASE REPORT  THORACIC PAPERS 

The Journal of Cardiovascular Surgery 2001 February;42(1):139-41

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Curative resection of both primary and second primary lung cancer

Ishii M., Kuwahira I., Kobayashi I., Shioya S., Ohta Y., Iwasaki M., Inoue H.

From the Department of Medicine *Department of Surgery Tokai University School of Medicine Isehara, Kanagawa, Japan

Cura­tive resec­tion of a ­second pri­mary ­lung ­cancer in a ­patient who sur­vived ­small-­cell ­lung ­cancer is ­reported. ­Small-­cell ­cancer had ­been ­treated ­with chem­o­therapy fol­lowed by sur­gical resec­tion 12 ­years ­before. The ­patient devel­oped squa­mous ­cell ­cancer as the ­second pri­mary ­tumor and under­went lobec­tomy ­with med­i­as­tinal ­node dis­sec­tion. ­Patients who ­undergo two cura­tive pul­mo­nary resec­tions of ­both pri­mary and ­second pri­mary ­lung ­cancer are ­extremely ­rare. The ­patient is ­alive 176 ­months ­after the ­initial diag­nosis of ­small-­cell ­lung ­cancer and 28 ­months ­after resec­tion for his ­second pri­mary ­lung ­cancer. ­Careful ­follow-up at an ­interval of 3-6 ­months ­beyond 10 ­years is ­very impor­tant ­because ade­quate treat­ments ­could ­lead to ­longer sur­vival of ­patients ­with pri­mary ­small-­cell ­lung ­cancer.