[Surgical treatment of malignant lung tumors in solid organ recipients].
Diagnostic difficulties, serious prognosis and often insufficient response to treatment are all common features of pulmonary complications  in solid organ recipients. Some of these complications need invasive diagnostic procedures and surgical treatment or prolonged  pharmacological treatment. Tuberculosis, Pneumocystis and fungal infections are examples of infectious complications. Primary lung  cancer or metastasis to the lungs developed shortly after solid organ transplantation are oncological complications. Infectious and  noninfectious complications are connected with immunosuppression. Treatment of pulmonary complications in solid organ recipients  and continuation of immunosuppression therapy can be challenge for therapeutic team. This article presents five cases (2 women and  3 men) of solid organ recipients treated in department of the authors due to lung neoplasms. Four of them were liver recipients and one  was recipient of heart. Three patients were treated due to primary lung cancer, additionally in one of them metastasis of lung cancer  occurred, two suffered from metastasis of liver cancer (hepatocellular carcinoma) to the lungs. Four patients underwent 6 operation:  2 lobectomies with lymphadenectomy, 1 segmentectomy with lymphadenectomy, 1 bilateral metastasectomy of HCC and  1 metastasectomy of lung cancer. In all cases of primary lung cancer pathological examination revealed squamous cell carcinoma.  Immunosuppression schedule, perioperative courses and infectious complications (tuberculosis, disseminated infection, infection of  biliary tract, oesophageal candidiasis) in this group were described. All of them were smokers.
Oddział Kliniczny Chirurgii Klatki Piersiowej Pomorskiego Uniwersytetu Medycznego w SzczecinieKierownik. margaretkaw@wp.pl
Małgorzata
M
Wojtyś
Henryk
H
Janowski
Janusz
J
Wójcik
Bartosz
B
Kubisa
Jarosław
J
Pieróg
Tomasz
T
Grodzki
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D005260:Female; D016027:Heart Transplantation; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D016031:Liver Transplantation; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014180:Transplantation; D016896:Treatment Outcome