Left lung wedge resection after right pneumonectomy: a case report

Ahmet Önen,

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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