title: [A case of synchronous resection of double cancers in the lung and stomach through median sternotomy and abdominal incision].
abstract: A 72-year-old male was admitted to our clinic for the treatment of early stomach cancer. A chest X-ray film on admission showed a mass in the right lung field. CT scan and transbronchoscopic lung biopsy revealed lung cancer (C-T2N2M0-stage IIIA). Histologically it was poorly differentiated adenocarcinoma, which was different from stomach cancer. We underwent synchronous resection of this double cancer through median sternotomy and abdominal incision. We conducted lobectomy, bilateral mediastinal lymph node dissection, and wedge resection of stomach. Postoperative diagnosis was early lung cancer (p-T2N0M0-stage I) and advanced stomach cancer (A-IIc+IIa advanced t2 (mp) n1H0P0M0-stage II). Postoperative course was stable and the patient was healthy at present. As such, this case report suggests that synchronous double cancers involving the lung and stomach, if both cancer are early stage, should be resected synchronously.
authors.affiliation: Department of Thoracic Surgery, Juntendou University, Tokyo, Japan.
authors.forename: A
authors.initials: A
authors.lastname: Morio
authors.forename: H
authors.initials: H
authors.lastname: Miyamoto
authors.forename: T
authors.initials: T
authors.lastname: Ou
authors.forename: H
authors.initials: H
authors.lastname: Izumi
authors.forename: T
authors.initials: T
authors.lastname: Futagawa
authors.forename: Y
authors.initials: Y
authors.lastname: Hosoda
mesh_terms: D000005:Abdomen / Q000601:surgery; D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D005743:Gastrectomy; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D011013:Pneumonectomy; D013249:Sternum / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery*