Open AccessMetachronous multiple pulmonary nodules 9 years after esophagectomy: a case report
Author(s) -
Kodai Hara,
Yukio Matsuda,
Nao Furukawa,
Koshi Nagano
Publication year - 2021
Publication title -
journal of surgical case reports
Language(s) - English
Resource type - Journals
ISSN - 2042-8812
DOI - 10.1093/jscr/rjab096
Subject(s) - medicine , thoracotomy , nodule (geology) , radiology , esophagectomy , lung , lung cancer , solitary pulmonary nodule , pneumonectomy , surgery , esophageal cancer , cancer , computed tomography , paleontology , biology
A 79-year-old man was referred to our hospital for further examination. He had undergone radical esophagectomy with right thoracotomy 9 years ago. Four cycles of chemotherapy (CDDP +5-FU) were also performed for him. Eight years after esophagectomy, two nodules were identified in the upper lobe of the right lung on chest computed tomography (CT). Owing to the possibility of new primary lung cancer, partial resection was performed. Histopathological examination revealed squamous cell carcinoma. One year and two months later, follow-up chest CT scan revealed a nodule shadow of 1.5 cm in the left apex and a nodule shadow of 0.9 cm below the S9 pleura. Hence, partial left lung resection was performed. Five months after left lung resection, a metastatic liver tumor was found on abdominal CT and left lobectomy of the liver was performed. One year after hepatectomy, the patient died due to peritoneal dissemination.