title: Right upper lobe lung cancer: Resection through left anterior mediastinotomy.
abstract: There is sparse information concerning approaches to metachronous lung cancer in patients who had a previous pneumonectomy for lung carcinoma. We describe the case of a 55-year-old woman who underwent a left pneumonectomy for lung carcinoma. Four years later, a radiological examination revealed a hypermetabolic nodule in the right upper lobe, which was located in the left hemithorax because of right lung hyperinflation and a mediastinal shift to the left. Wedge resection was carried out through a left anterior mediastinotomy. We believe that an anterior mediastinotomy represents a valuable option for the management of recurrent lung cancer after previous surgery.
authors.affiliation: Thoracic Surgery Service, University of Sherbrooke, Quebec, Canada.
authors.forename: Marco
authors.initials: M
authors.lastname: Sirois
authors.affiliation: Thoracic Surgery Service, University of Sherbrooke, Quebec, Canada Departement of Cardiothoracic Surgery, Faculty of Medicine of Alexandria, Egypt walidabuarab@yahoo.com.
authors.forename: Walid
authors.initials: W
authors.lastname: Abu Arab
authors.affiliation: Departement of Nuclear Medicine, University of Sherbrooke, Quebec, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Turcotte
authors.affiliation: Pneumology Service, Faculty of Medicine and Health Sciences, University of Sherbrooke, Quebec, Canada.
authors.forename: Yannick
authors.initials: Y
authors.lastname: Poulin
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008482:Mediastinum / Q000601:surgery*; D008875:Middle Aged; D064847:Multimodal Imaging; D016609:Neoplasms, Second Primary / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy; D049268:Positron-Emission Tomography; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Adenocarcinoma; Lung Neoplasms; Neoplasms; Pneumonectomy; Reoperation; second primary