title: [10 years survival of patient with lung cancer and cerebral metastasis].
abstract: The authors describe the case of survival for the period of 10 years after brain metastasis surgery and removal of the left lung upper lobe due to adeno-squamous cells carcinoma. Surgery did not generate any complications. Within 8 years after the surgery the radiological examination showed infiltrations resembling changes typical for tuberculosis. Microbiological analysis showed a culture of Mycobacterium kansasi leading to diagnosis of mycobacteriosis. Hence the antituberculous treatment was extended to 12 months to be interrupted due to liver damage. Two years later the patient experienced incident of haemoptysis. Detailed examination and assessment of the respiratory tract condition revealed COPD without features of renewal of the neoplastic process or infection by Mycobacterium tuberculosis or mycobacterium other than tuberculosis. This case demonstrates that aggressive surgical approaches to lung cancer with solitary cerebral metastasis significantly improve patient survival and justifies its widespread use.
authors: Klinika Chorób Wewnqtrznych, Pneumonologii i Alergologii, Akademii Medycznej w Warszawie.
authors: Tadeusz M
authors: TM
authors: Zielonka
authors: Andrzej
authors: A
authors: Marchel
authors: Ryszard
authors: R
authors: Pogorzelski
authors: Katarzyna
authors: K
authors: Górska
authors: Aleksandra
authors: A
authors: Safianowska
authors: Krzysztof
authors: K
authors: Byśkiniewicz
authors: Ryszarda
authors: R
authors: Chazan
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D001932:Brain Neoplasms / Q000556:secondary* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery; D008297:Male; D011019:Pneumonia, Mycoplasma / Q000175:diagnosis; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis; D013997:Time Factors