Failed Completion Pneumonectomy for Early Recurrent Pleomorphic Carcinoma: A Case Report

Mayuko Uehara, Atsushi Watanabe, Junji Nakazawa, Ryo Harada, Masahiro Miyajima, Shinji Nakashima, Takuro Obama, Tetsuya Higami

Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University, Sapporo, Japan..

DOI: 10.4236/ojts.2013.31001                

Abstract

We report a patient with a large pulmonary pleomorphic carcinoma (PPC) in the left upper lobe greater than 10 cm in diameter. She underwent left upper lobectomy with mediastinal lymph node dissection and concomitant resection of the left phrenic nerve, vagus nerve and pericardium. She received adjuvant chemotherapy, but had tumor recurrence. We then performed left completion pneumonectomy, but could not remove the tumor completely because of rapid tumor invasion to the left atrium. Urgent surgery should be considered for recurrent resectable PPC.

Keywords

Pulmonary Pleomorphic Carcinoma; Completion Pneumonectomy; Reoperation; Tumor Recurrence

Conflicts of Interest

The authors declare no conflicts of interest.

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