Multimodal Treatment for Multistation Mediastinal Lymph Node Adenocarcinoma: A Case Report

Tomoyuki Nakano; Shunsuke Endo; Tetsuya Endo; Tsuyoshi Hasegawa; Masayuki Nakayama; Yukihiko Sugiyama; Mitsugu Hironaka

doi:10.5761/atcs.cr.11.01668

Case Reports

Multimodal Treatment for Multistation Mediastinal Lymph Node Adenocarcinoma: A Case Report

Tomoyuki Nakano, Shunsuke Endo, Tetsuya Endo, Tsuyoshi Hasegawa ^†, Masayuki Nakayama ^†, Yukihiko Sugiyama ^†, Mitsugu Hironaka

Author information

Tomoyuki Nakano
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
Shunsuke Endo
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
Tetsuya Endo
Department of Respiratory Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan
Tsuyoshi Hasegawa ^†
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan
Masayuki Nakayama ^†
Department of Respiratory Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan
Yukihiko Sugiyama ^†
Department of Respiratory Medicine, Jichi Medical University, Shimotsuke, Tochigi, Japan
Mitsugu Hironaka
Department of Pathology, Jichi Medical University, Shimotsuke, Tochigi, Japan
Author contributions

†These authors contributed equally: Tsuyoshi Hasegawa, Masayuki Nakayama, Yukihiko Sugiyama

Keywords: lymph node adenocarcinoma, lymph nodal dissection, chemotherapy, thoracoscopy, mediastinum

JOURNAL FREE ACCESS

2012 Volume 18 Issue 2 Pages 136-139

DOI https://doi.org/10.5761/atcs.cr.11.01668

View "Advance Publication" version (October 17, 2011).

Details

Abstract

We report on a 68-year-old male with a multistation mediastinal lymph node adenocarcinoma, who had no primary lesions occurring within 48 months. After diagnosis by lymph node biopsy via right-sided thoracoscopy, the bilateral mediastinal lymphadenopathy responded to platinum-based chemotherapy. At 30 months after completion of chemotherapy, left mediastinal lymphadenopathy recurred. Left anterior mediastinal dissection via left-sided thoracoscopy was successful. After surgery, the patient did well with no primary lesions for more than a year. The etiology of mediastinal lymph node carcinoma of unknown origin is discussed.

Corresponding author

Register with J-STAGE for free!