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- Title
O-087 TREATMENT STRATEGY OF CONTRALATERAL RECURRENCE FOLLOWING PREVIOUS PNEUMONECTOMY FOR BRONCHIAL CARCINOMA.
- Authors
Kostron, Arthur; Opitz, I.; Schneiter, D.; Kestenholz, P.; Inci, I.; Hillinger, S.; Weder, W.
- Abstract
Objectives: To emphasize the possibilities of lung resection in patients with multiple primary lung cancers.Case description: A 45-year-old woman diagnosed for central adenocarcinoma of the left upper lobe in 1996 underwent left-sided pneumonectomy. An adjuvant radiotherapy of the mediastinum was performed because of definitive tumour stage pT2 pN2 cM0, UICC stage IIIA. No local recurrence was noted in the follow-up until 2007 when a stage IB squamous cell carcinoma of the right upper lobe was diagnosed. Simultaneously a mycotic infection of the upper lobe was secured by bronchoscopy. After further tests, including pulmonary function tests and V/Q scan as well as thorough consideration of perioperative risk, we decided, after interdisciplinary discussion, to perform a resection of the upper lobe cancer. A sleeve resection of the right upper lobe was performed under cardiopulmonary bypass assistance. Six years after the right upper sleeve-lobectomy for stage IB adenocarcinoma and 13 years after left-sided pneumonectomy because of stage IIIA squamous cell carcinoma no signs of local recurrence or metastasis are present. Pulmonary function and quality of life as well as exercise tolerance are exceptionally good although she lives with unilateral middle and lower lobe only.Conclusions: This case outlines that going beyond standard considerations for lung cancer resection in a selected patient leads to an exceptional result.Disclosure: No significant relationships.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2014, Vol 18, Issue suppl_1, pS23
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivu167.87