Non-small cell lung cancer in a patient with primary myelodysplastic syndrome

Abstract

A 75-year-old man with primary myelodysplastic syndrome underwent right upper lobectomy for lung adenocarcinoma (cT1bN0M0, cStage1A). Preoperative examination showed severe neutropenia (neutrophils: 280/μl) and mild anemia (hemoglobin: 9.6 g/dl) without thrombocytopenia (15.3×10⁴/μl). We used granulocyte colony-stimulating factor for four days from the day before the operation with anabolic steroid, activated vitamin D₃ and vitamin K₂. Cefazolin was prophylactically used for three days after the operation. Blood transfusion was not needed. White blood cells rose to 3,030/μl after the operation. He showed no postoperative infection or leukemia, and was discharged on the seventh day after the operation.