2009 Volume 23 Issue 1 Pages 35-38
An 87-year-old man had undergone left lower lobectomy for large cell carcinoma. Two years later, a small nodule inside the right upper lobe was noted. A second video-assisted thoracoscopic surgery (VATS) was performed, and the pathological diagnosis was well-differentiated adenocarcinoma. He has lived uneventfully for 3 years since the second VATS. Elderly patients with lung cancer show a good prognosis if they undergo lung lobectomy. If metachronous second primary lung cancer can be completely removed, surgery is recommended. VATS has become one of the treatments of choice for metachronous second primary lung cancer in elderly patients.