Successful treatment of lung adenocarcinoma in an 18-year-old man.
Primary lung cancer is an extremely rare neoplasm in young adults. We report a case of a primary lung adenocarcinoma in an 18-year-old man who presented for examination of a solitary nodule located in the right lower lobe of the lung. A right lower lobectomy was performed with an incomplete resection because of pleural dissemination (pT4N2M0 stage IIIB adenocarcinoma). Intrathoracic chemotherapy (cisplatin, 50 mg/body) was administered initially, followed by systemic chemotherapy (carboplatin + paclitaxel). A bronchopleural fistula occurred 2 months postoperatively and was successfully treated with conservative therapy, including thoracic drainage, intrathoracic fibrin glue administration, and transbronchial superglue administration. Thereafter, a total of five courses of systemic chemotherapy with minor changes in the administration regimen were performed. The patient was alive and with no evidence of recurrence at his 5-year follow-up.
Department of Thoracic Surgery, Shinkomonji Hospital, 2-5 Dairishinmachi, Moji-ku, Kitakyushu 800-0057, Japan. tetsuya@shinkomonji-hp.jp
Tetsuya
T
So
Hidetaka
H
Uramoto
Takeshi
T
Hanagiri
Mitsuhiro
M
Takenoyama
Kenji
K
Ono
Tomoko
T
So
Takashi
T
Yoshimatsu
Kosei
K
Yasumoto
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000293:Adolescent; D001983:Bronchial Fistula; D003937:Diagnosis, Differential; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D010995:Pleural Diseases; D011183:Postoperative Complications; D019616:Thoracic Surgical Procedures