ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Left lung wedge resection after right pneumonectomy: a case report
Ahmet Önen1, Aydın Şanlı1, Aydın Taşdöğen2, Gün Murat Eyüboğlu1, Hasan Hepağuşlar2, Volkan Karaçam1, Kadriye Banu Gökçen1, Nezih Özdemir1
1Dokuz Eylül Üniversitesi Tıp Fakültesi Göğüs Cerrahisi Anabilim Dalı, İzmir
2Dokuz Eylül Üniversitesi Tıp Fakültesi Anestezi ve Reanimasyon Anabilim Dalı, İzmir
A progressing nodule of 8 mm in diameter was observed in the lower lobe superior segment of the left lung on thoracic tomography in a 67-year-old male patient who had right pneumonectomy 12-years ago due to stage I squamous cell carcinoma. A non-metabolic nodule was observed in fluorodeoxyglucose-positron emission tomography (FDG-PET). Since it was a stage I tumor, left lower lobe was occluded and left upper lobe was selectively ventilated prior to a wedge resection in the superior segment of the left lower lobe. The histopathology of the nodule was reported as mucinous adenocarcinoma. After pneumonectomy, the development of contralateral secondary lung cancer has surgical resection indication if the cancer is a clinical stage I disease and appropriate for wedge resection or segmentectomy and the patient has an adequate respiratory reserve.
Keywords : Adenocarcinoma/surgery/mortality; carcinoma, squamous cell/surgery; pneumonectomy; spirometry
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