The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
A case of surgically resected synchronous double lung cancers and hilar and mediasinal lymph node metastases from unknown primary site
Takahiro KinoshitaShinji MaebeyaYasuaki Naito
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2001 Volume 15 Issue 6 Pages 699-704

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Abstract
A 74-year-old male was admitted to our hospital because of cough. The chest X-ray film and CT film showed an abnormal shadow in the right hilum and the upper lobe (S2). The tumor was diagnosed as squamous cell carcinoma by bronchoscopic lung biopsy in the orifice of the right B6, so middle and lower lobectomy with regional lymph node dissection was performed and partial resection of the right upper lobe was performed.
The histological diagnoses for each of the right B6, S2, hilar and mediastinal lymph nodes (#7, #10, #11, #12) were squamous cell carcinoma (pT1N0M0 stageIA), well differentiated adenocarcinoma (pT2N0M2 stageIB), and small cell carcinoma (pT0N2M0 stageIIIA).
The postoperative course of the patient has been good with no evidence of recurrence 20 months after the operation.
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