[Isolated lymph node metastasis in pericardial fat flap after bronchial stump coverage].
The occurrence of bronchopleural fistulas is a serious complication after pneumonectomy because of lung cancer and additional bronchial stump coverage within right-sided and left-sided pneumonectomy therefore constitutes the operative standard. This is a case report on the early diagnosis of a lymph node metastasis within the pedicled pericardial fat flap used for bronchial stump coverage. Primary resection of the left lung was carried out 8 months previously because of cancer. Early diagnosis was possible using FDG-PET/CT in the post-operative treatment. The recurrence was successfully treated by en bloc resection and adjuvant radiation.
Fröhlich
J
J
Abteilung Thoraxchirurgie, Chirurgische Universitätsklinik Freiburg, Hugstetter Straße 55, 79106, Freiburg, Deutschland. juergen.froehlich@uniklinik-freiburg.de
Rischke
C
C
Rentschler
J
J
Drevs
J
J
Stremmel
C
C
Passlick
B
B
D001983:Bronchial Fistula / Q000150:complications / Q000209:etiology* / Q000473:pathology; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D012086:Reoperation; D013524:Surgical Flaps / Q000473:pathology*