Abstract
A case of small cell lung' carcinoma, measuring 1.0cm in greatest dimension, was surgically resected. As the tumor showed pulmonary hilar lymph node metastases, it was pathologically graded as T1N1M0 (Stage II). Characteristically, the tumor grew subepithelially along the longitudinal axis of a small bronchus. Recurrence in the mediastinal lymph nodes appeared after surgery, and chemotherapy and radiation therapy were performed. The patient is alive 2 years and 5 months after surgery.