2015 Volume 29 Issue 2 Pages 231-235
A female patient in her 40s was referred to our hospital for an operation without blood transfusion involving a right lung lower lobectomy for metastasis from rectal cancer. At her previous hospital, she had received radical surgery for rectal cancer in 2008. At two years after the operation, she was diagnosed with multiple lung inoperable, and the lung tumor was inoperable. Although she had once started to receive chemotherapy. She chose to discontinue it because of the severe side effects. After that, she received radiation therapy (total of 50 Gy) to the tumor in the right lower lobe, she which had enlarged and existed on the proximale side. It led to disease, increased and was then followed up. However, the tumor of the right lower lobe slowly increased. The tumor surrounded the right right inferior pulmonary vain, so a curative operation was considered very difficult. Furthermor, due to the fact she was a Jehovah's Witness, she wanted to receive an operation without blood transfision. She thus visited our hospital. We considered such an operation to be very risky but not impossible. After six course of FOLFOX therapy at our hospital, although the effect was Stable disease, we succeeded in perfouming a right lung lower lobectomy without blood transfusion.
