title: [Long-term survival after surgical resection of metachronous inguinal lymph node and contralateral lung metastases from lung cancer; report of a case].
abstract: The majority of patients with metastatic diseases are not indicated for radical surgery because of another metastatic lesions. We herein describe a case of long-term survival after surgical resections of metachronous inguinal lymph nodal and contralateral pulmonary metastases from lung cancer. In August 1999, a 71-year-old man presented with hemosputa. Chest computed tomography (CT) showed a tumor of the right lung. In January 2000, the right upper lobectomy was performed, and thereafter the lesion was diagnosed as a large cell carcinoma. Two months later, a groin tumor was detected, diagnosed as a metastatic lesion with aspiration cytology, and resected. In October 2001, a newly developing lung tumor in the left upper lobe was detected by routine chest CT. In December 2001, a partial resection of the left upper lobe was performed, and the tumor was diagnosed as a large cell carcinoma. The patient is alive without recurrence for 5 years.
authors.affiliation: Division of Thoracic Surgery, Aichi Cancer Center Aichi Hospital, Okazaki, Japan.
authors.forename: Takehiko
authors.initials: T
authors.lastname: Okagawa
authors.forename: T
authors.initials: T
authors.lastname: Uchida
authors.forename: M
authors.initials: M
authors.lastname: Syuama
mesh_terms: D000368:Aged; D018287:Carcinoma, Large Cell / Q000556:secondary / Q000601:surgery*; D018572:Disease-Free Survival; D006801:Humans; D007264:Inguinal Canal; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome