[Surgical treatment of pulmonary lesions in a single lung].
We performed surgery on 4 patients who had previously undergone left pneumonectomy and presented a second pulmonary lesion (3 lung cancers; 1 metastasis from colon cancer). Patients were aged between 52 and 79 years; 3 were men. Wedge resection was performed in 3 patients and segmentectomy in the other. Preoperative forced expiratory volumes in the first second were 1940 mL (72%), 576 mL (29%), 1390 mL (63%), and 2370 mL (63%). There was no perioperative mortality; 1 patient presented an air leak for 7 days. Two patients were alive and disease-free at 12 and 15 months, and 2 died from causes unrelated to the tumor at 52 and 183 months. There was no deterioration in the quality of life. In selected cases, patients with a second tumor in a single lung can be treated surgically with little or no mortality and with a prolonged survival.
Vázquez-Pelillo
Juan Carlos
JC
Servicio de Cirugía Torácica, Hospital Universitario La Paz, Madrid, España. vpelillo@yahoo.es
Corpa-Rodríguez
María Elena
ME
Gil-Alonso
José Luis
JL
Díaz-Agero Alvarez
Prudencio
P
Vicente-Verdú
Ramón
R
García Sánchez-Girón
Joaquín
J
D000230:Adenocarcinoma / Q000556:secondary / Q000601:surgery*; D000368:Aged; D018287:Carcinoma, Large Cell / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D003110:Colonic Neoplasms; D018572:Disease-Free Survival; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods / Q000706:statistics & numerical data*; D011788:Quality of Life; D016896:Treatment Outcome