Stage I adenocarcinoma presenting in the pneumonectomy specimen at the time of single lung transplantation.
Two patients at our institution underwent single lung transplantation. The procedure and the patient's postoperative course were uncomplicated in each case. Pathological examination of each pneumonectomy specimen revealed a well-differentiated adenocarcinoma; both were less than 1 cm in size. The remainder of each lung showed no evidence of adenocarcinoma and all lymph nodes were negative. Work-ups for an occult malignancy before and after surgery were negative. This is believed to be the first report of a single lung transplant in a patient with a primary adenocarcinoma of the lung. The implications and management of these patients are discussed.
Svendsen
C A
CA
Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis 55455, USA.
Bengtson
R B
RB
Park
S J
SJ
Shumway
S J
SJ
D000230:Adenocarcinoma / Q000473:pathology*; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology*; D008175:Lung Neoplasms / Q000473:pathology*; D016040:Lung Transplantation; D008875:Middle Aged; D009367:Neoplasm Staging; D009382:Neoplasms, Unknown Primary / Q000473:pathology*; D011013:Pneumonectomy; D011184:Postoperative Period