Metachronous Lung Cancer After Pleurectomy/Decortication
Metachronous Lung Cancer After Pleurectomy/Decortication
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胸膜切除/皮质剥除术后的异时性肺癌
DOI：
10.1016/j.athoracsur.2018.05.087
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发表时间：
2019
期刊：
影响因子：
4.6
通讯作者：
Okada M.
中科院分区：
文献类型：
--
作者：
Kai Y;Tsutani Y;Ito M;Mimura T;Miyata Y;Okada M.
胸膜切除术/剥脱术是恶性胸膜间皮瘤（MPM）的外科手术，已被提议作为胸膜外肺切除术的替代方法。我们报告第二原发性肺癌发展后胸膜切除术/去皮质MPM。一名59岁男性被诊断为右侧MPM并接受胸膜切除术/皮质剥脱术。随访计算机断层扫描检测到右上叶结节，通过楔形切除术诊断为腺癌。肺癌和MPM与石棉暴露有关。然而，预测MPM治疗后的肺癌是困难的。仔细随访备用肺是必要的检测第二原发性肺癌或MPM复发。
Pleurectomy/decortication is a surgical procedure for malignant pleural mesothelioma (MPM) and has been proposed as an alternative to extrapleural pneumonectomy. We report a second primary lung cancer developing after pleurectomy/decortication for MPM. A 59-year-old man was diagnosed with MPM on the right side and underwent pleurectomy/decortication. Follow-up computed tomography detected a nodule in the right upper lobe that was diagnosed as adenocarcinoma by wedge resection. Lung cancer and MPM are associated with asbestos exposure. However, predicting lung cancer after treatment for MPM is difficult. Careful follow-up of the spared lung is necessary for detecting second primary lung cancer or MPM recurrence.