title: Utility of the transcervical approach in bilateral synchronous lung cancer.
abstract: Bilateral pulmonary nodules represent a challenge in distinguishing between synchronous bronchogenic carcinomas and metastatic disease. In the case of potentially curable synchronous lung cancer, it is recommended to treat each lesion with curative intent if there is no evidence of mediastinal involvement or extrathoracic disease. In this situation, surgical staging of the mediastinum is recommended. This case shows the utility of a transcervical approach to perform precise mediastinal staging and lymphadenectomy, and to access the pleural cavity to resect a pulmonary nodule. Moreover, video-assisted mediastinoscopic lymphadenectomy combined with video-assisted lobectomy could be a good option for a radical lymphadenectomy.
authors.affiliation: Department of Thoracic Surgery, Hospital Universitari Mútua Terrassa, University of Barcelona, Terrassa, Barcelona, Spain carme_obiols@hotmail.com.
authors.forename: Carme
authors.initials: C
authors.lastname: Obiols
authors.affiliation: Department of Thoracic Surgery, Hospital Universitari Mútua Terrassa, University of Barcelona, Terrassa, Barcelona, Spain.
authors.forename: Sergi
authors.initials: S
authors.lastname: Call
authors.affiliation: Department of Thoracic Surgery, Hospital Universitari Mútua Terrassa, University of Barcelona, Terrassa, Barcelona, Spain.
authors.forename: Ramón
authors.initials: R
authors.lastname: Rami-Porta
authors.affiliation: Department of Thoracic Surgery, Hospital Universitari Mútua Terrassa, University of Barcelona, Terrassa, Barcelona, Spain.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Trujillo-Reyes
mesh_terms: D000368:Aged; D002283:Carcinoma, Bronchogenic / Q000556:secondary / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis; D008297:Male; D008481:Mediastinoscopy; D055613:Multiple Pulmonary Nodules / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D049268:Positron-Emission Tomography; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Transcervical approach; mediastinal lymphadenectomy; mediastinal staging; mediastino-thoracoscopy; synchronous bronchogenic carcinoma; video-assisted thoracic surgery