Abstract
A 55-year-old man was admitted, complaining of right shoulder pain and showing an abnormal chest shadow. A mass in the right pulmonary apex with invasion to the chest wall was confirmed on chest CT. A definitive diagnosis was not established by bronchoscopy. He underwent tumor biopsy under VATS, and a diagnosis of non-small cell carcinoma was made. He underwent right upper lobectomy with chest wall resection. The pathological diagnosis was pulmonary pleomorphic carcinoma stage 2B (pT3N0M0). Radiation therapy was started after the operation and the patient has followed a favorable course for 30 months without signs of recurrence.
