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Left lung wedge resection after right pneumonectomy: a case report
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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