2016 Volume 30 Issue 7 Pages 905-909
A 76-year-old man was referred to us with an abnormal opacity on a plain chest radiograph. Chest computed tomography revealed an irregular nodular shadow measuring 21 mm in the S3 segment of the right upper lobe, which was continuous with an interlobar lymph node (#11s). On the basis of the clinical examination findings, the patient was diagnosed with lung adenocarcinoma of the right upper lobe, clinical T1bN1M0, stage IIA. CT also showed a consolidation with an air bronchogram in the right hilum, and middle lobe hypoplasia was suspected. We confirmed a thumb-head-sized right middle lobe during surgery. Although there was the possibility of the middle lobe serving as a source of repeated infections, we performed right upper lobectomy with wedge bronchoplasty rather than extended sleeve lobectomy, in order to avoid excessive tension on the anastomosis. We report a case of lung hypoplasia with a review of the literature.
