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Successful Two-Stage Surgical Treatment for Lung Cancer in a Patient with Contralateral Giant Emphysematous Bullae

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DOI: 10.4236/ojts.2012.24027    3,268 Downloads   5,178 Views  

ABSTRACT

A 67-year-old man was referred for further evaluation of an abnormal chest roentgenogram. Computed tomography showed a 40 × 30 mm mass in the left upper lobe. A giant bulla occupying about two-thirds of the right thorax was found compressing the adjacent lung parenchyma, shifting the mediastinum to the left. The mass was a primary lung cancer, clinical T2aN0M0, stage IB. Preoperative respiratory function evaluation showed poor pulmonary function, with a forced expiratory volume in 1 second of 1070 ml (29.2% of predicted). Therefore, we first performed giant bullectomy by video-assisted thoracoscopic surgery. At 1 month after this operation, improvement of the forced expiratory volume in 1 second significantly to 2140 ml (80.1% of predicted) was observed. Therefore, we performed resection for the tumor. He was discharged after an uneventful postoperative course, and has remained in good condition for 6 months after the operation.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Y. Hirami, K. Shimizu, R. Okita, S. Saisho, T. Yukawa, A. Maeda, K. Yasuda and M. Nakata, "Successful Two-Stage Surgical Treatment for Lung Cancer in a Patient with Contralateral Giant Emphysematous Bullae," Open Journal of Thoracic Surgery, Vol. 2 No. 4, 2012, pp. 133-135. doi: 10.4236/ojts.2012.24027.

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