[A case of bilateral 3-lung lesion (metastatic and primary tumour, tumourlet) resected simultaneously].
A 70-year-old male patient underwent right nephrectomy for renal clear cell carcinoma. After 8 years an X-ray showed a nodule on the left lung, and CT scan detected it to be a 15 × 12 mm mass in S1+2 segment of the left lung. CT also detected another 15 × 7 mm mass in the right S3 segment. These lesions had a high FDG accumulation. Pre-operative diagnosis is bilateral pulmonary metastases from renal cell carcinoma, and bilateral lung segmentectomy was performed. Left S1+2 resected tumor was histologically clear cell carcinoma by intra-operative examination, then right S3 segmentectomy was done. And that time, small tumor was found in the middle lung lobe, and a wedge resection was performed. These specimens revealed a primary lung carcinoma of right S3, and tumourlet of middle lobe. It is very rare that three different histlogical types of lung tumor were found.
Dept. of Surgery, Minoh City Hospital.
Takashi
T
Doi
Eiji
E
Kurokawa
Minako
M
Hoshi
Takuya
T
Sakamoto
Hirotsugu
H
Nagase
Masaaki
M
Miyo
Yoichi
Y
Makari
Yasuhiro
Y
Miyake
Satoshi
S
Oshima
Kimimasa
K
Ikeda
Shohei
S
Iijima
Nobuteru
N
Kikkawa
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006965:Hyperplasia / Q000150:complications / Q000601:surgery; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology* / Q000556:secondary* / Q000601:surgery; D008297:Male; D016609:Neoplasms, Second Primary / Q000150:complications / Q000473:pathology* / Q000601:surgery