title: Extended resection of primary lung cancer directly invading the liver.
abstract: A 61-year-old woman presented with chest pain. Chest CT revealed a mass of 6 cm diameter in the right lower lobe. Bronchoscopic biopsy showed squamous cell carcinoma. Video-assisted thoracotomy revealed that the main tumour was directly invading the liver through the diaphragm. To alleviate local symptoms and for possible cure with adjuvant chemotherapy and radiotherapy, standard right lower lobectomy and mediastinal dissection were carried out, followed by combined resection of the diaphragm and posterior superior segmentectomy of the liver. Eleven months postoperatively, the patient was alive but had a metastatic lesion in the other lobe of the liver which reduced in size following chemotherapy.
authors.affiliation: Department of Thoracic Surgery, Osaka City University Hospital, Osaka, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwata
authors.forename: Kiyotoshi
authors.initials: K
authors.lastname: Inoue
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Mizuguchi
authors.forename: Ryuhei
authors.initials: R
authors.lastname: Morita
authors.forename: Takuma
authors.initials: T
authors.lastname: Tsukioka
authors.forename: Hiromu
authors.initials: H
authors.lastname: Tanaka
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery*; D003964:Diaphragm / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery*; D008482:Mediastinum / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed