Rib metastasis appearing 8 years after surgery for lung cancer: report of a case.
A 39-year-old man underwent a right upper lobectomy and lymph node dissection for right lung adenocarcinoma on March 7, 1988. He was referred for an evaluation of a systemic bone scintillation scan on October 29, 1996. A hot spot at the right fourth rib was recognized. After performing needle aspiration cytology, a diagnosis of adenocarcinoma was made. This case was considered to be rib metastasis occurring 8 years after surgery for lung cancer. In general, regular follow-up examinations are performed for at least 5 years after surgery; however, surgeons should also keep such late metastatic cases in mind.
Kase
S
S
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Sugio
K
K
Yano
T
T
Nishioka
K
K
Yamazaki
K
K
Okamoto
T
T
Koga
T
T
Yamaguchi
M
M
Ondo
K
K
Sugimachi
K
K
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male; D011013:Pneumonectomy / Q000379:methods; D011877:Radionuclide Imaging; D012086:Reoperation; D012272:Ribs / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome