Open AccessSalvage surgery for primary lung cancer after chemotherapy in octogenarians
Author(s) -
Hino Haruaki,
Nishimura Takashi,
Usuki Chiemi,
Sazuka Manami,
Ito Takuya,
Seki Atsuko,
Nitadori Junichi,
Yamada Hirokazu,
Arai Tomio,
Yamamoto Hiroshi,
Nakajima Jun
Publication year - 2017
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.12423
Subject(s) - medicine , lymphadenectomy , lymph , lung cancer , lymph node , chemotherapy , positron emission tomography , stage (stratigraphy) , surgery , pathological , carcinoma , radiology , pneumonectomy , lung , cancer , oncology , pathology , paleontology , biology
An 81‐year‐old female patient was admitted to our institute because of abnormal X ‐ray results. Chest computed tomography showed a 7.7 × 5.3 cm mass located in the left lower lobe and multiple swollen lymph nodes. 18 F ‐fluorodeoxyglucose‐positron emission tomography indicated high standard uptake values in the mass and swollen lymph nodes. The patient was diagnosed with stage cT3N2M0‐IIIA squamous cell carcinoma. Although the patient had multiple lymph node metastases and severe obstructive pulmonary function, four cycles of platinum doublet chemotherapy were initially performed and no side effect greater than grade 3 was experienced. As the lung cancer was downstaged to ycT2aN0M0‐IB and pulmonary function had improved, a bronchodilating preparation, an uneventful left lower lobectomy, and a lymphadenectomy were performed. The patient was discharged 39 days after surgery and exhibited good health for a year at pathological stage ypT1aN0M0‐IA ( Ef2 ).