Imanishi Naoko
   Department   University Hospital  General Thoracic Surgery, Clinical Departments
Article types case reports
Language English
Peer review Peer reviewed
Title Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer.
Journal Formal name:Surgical case reports
Abbreviation:Surg Case Rep
ISSN code:/21987793
Domestic / ForeginForegin
Volume, Issue, Page 3(1),64頁
Author and coauthor Imanishi Naoko, Nabe Yusuke, Takenaka Masaru, Chikaishi Yasuhiro, Kuroda Koji, Noguchi Hirotsugu, Yatera Kazuhiro, Tanaka Fumihiro
Publication date 2017/12
Summary BACKGROUND:Malignant pleural mesothelioma (MPM) is an uncommon malignant tumor, and its synchronous occurrence with primary lung cancer is extremely rare. Here, we report the first surgical case of synchronous MPM and contralateral lung adenocarcinoma. Extrapleural pneumonectomy (EPP) combined with surgery for contralateral lung cancer may not be tolerated, and a lung-sparing procedure including pleurectomy/decortication (P/D) can be an alternative to achieve complete resection.CASE PRESENTATION:A 69-year-old male with right MPM and lung adenocarcinoma in the left upper lobe presented. Two lesions were judged to be synchronous MPM and lung cancer that were both potentially resectable clinical stage I diseases, and complete resection of both tumors was successfully achieved with right P/D following left upper division segmentectomy.CONCLUSIONS:P/D, not EPP, is a less invasive surgical procedure for MPM with curative intent and can be performed in combination with contralateral lung resection.
DOI 10.1186/s40792-017-0336-9
PMID 28485001