We report a patient with a largepulmonary pleomorphic carcinoma (PPC)in the left upper lobegreater than 10 cm in diameter. She underwentleft 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 rapidtumor invasion to the left atrium. Urgent surgery should be considered for recurrent resectable PPC.
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