Bronchial stump re-resection for lung cancer recurrence after left pneumonectomy
- PDF / 533,044 Bytes
- 3 Pages / 595.276 x 790.866 pts Page_size
- 62 Downloads / 201 Views
CASE REPORT
Bronchial stump re-resection for lung cancer recurrence after left pneumonectomy Oleg Pikin 1 & Andrey Vasuikevich 2 & Oleg Alexandrov 1
&
Evgeniy Toneev 3
Received: 30 June 2020 / Revised: 24 July 2020 / Accepted: 30 July 2020 # Indian Association of Cardiovascular-Thoracic Surgeons 2020
Abstract We report a rare case of curative bronchial stump re-resection after left-side pneumonectomy. A 65-year-old male was operated 2 years prior to current admission for centrally located non-small cell lung cancer, followed by 4 cycles of platinum-based chemotherapy. In 2 years after treatment, a local endobronchial recurrence was diagnosed in the bronchial stump. The patient was operated via sternothoracotomy approach and successful complete re-resection of the left main bronchus was provided after pericardiotomy and re-amputation of pulmonary vessel stumps. Postoperative period was uneventful. Keywords Lung cancer recurrence . Bronchial stump resection . Sternothoracotomy
Introduction The rate of loco-regional recurrence after curative surgery for non-small cell lung cancer can range from 3 to 9% to 32 or even 38% [1, 2]. The main treatment option in case of isolated local recurrence is radiotherapy or chemoradiotherapy [3]. Surgery is rarely performed with curative intent in patients with recurrence of non-small cell lung cancer (NSCLC), especially after pneumonectomy. We present an extremely rare clinical case of successful re-resection of the bronchial stump for isolated NSCLC cancer recurrence, after previously performed left-side pneumonectomy, which has not been reported in the literature before.
Case report A 65-year-old male patient, former smoker (quit 2 years ago), was admitted to our hospital with mild hemoptysis. Two years prior to the admission, he underwent left-side pneumonectomy for * Oleg Alexandrov [email protected] 1
Moscow Oncology Research Institute of P.A. Herzen, Moscow, Russia
2
Department of Thoracic Surgery, Burdenko Central Military Hospital, Hospital Street, 3, Moscow, Russia
3
Department of Thoracic Surgery, Regional Cancer Centre, 12 th September Street, 90, Ulianovsk, Russia
squamous cell lung cancer pT2aN1M0, IIB (TNM, 7th edition). Resection margin of the bronchial stump was proven at histologic examination to be clear of the tumor. Four cycles of adjuvant platinum-based chemotherapy were conducted. Two years later, he noticed hemoptysis and was admitted to the regional hospital, where isolated bronchial stump recurrence was diagnosed. Computed tomography (CT) of the chest revealed an endobronchial mass 27 × 20 mm, which was confirmed by positron emission tomography–computed tomography (PET/CT) as isolated lung cancer recurrence with standardized uptake value (SUV)—9.3 with no evidence of abnormal uptake in other organs (Fig. 1). Bronchoscopy detected a tumor in the bronchial stump of the left main bronchus with proximal margin 25 mm from the carina. Histologic examination proved squamous cell cancer similar to the primary tumor. Magnetic resonance imaging (MRI) of t
Data Loading...
