A case of apical invasive lung cancer resection receiving concurrent chemoradiotherapy as an induction therapy

Abstract

A 45-year-old man complaining of left shoulder-back pain was diagnosed with invasive left apical lung cancer. He recived preoperative CCRT (RT: 40Gy/20Fr: Cisplatin, Vindesine), resulting in tumor regression. We performed left upper lobectomy, partial resection of the left clavicle and the first rib, reconstruction of the left subclavian artery and vein by artificial vessel, fixation the left clavicle by implant of self-tendon, and reconstruction of the chest wall using Composix mesh^®. Pathlogical examination demonstrated that the lesion did not contain any malignant cells (Ef. 3). The patient was doing well without any tumor recurrence 2 yaers and 2 months postoperatively.