OJTS  Vol.3 No.1 , March 2013
Pulmonary Resection for Metachronous Lung Cancer Following Contralateral Pneumonectomy
ABSTRACT

Patients who undergo pneumonectomy for lung cancer are at risk of recurrent disease and metachronous tumours in the remaining lung. Establishing a diagnosis can be difficult as biopsy may induce a pneumothorax, whilst resection is limited by remaining lung function. However, pneumonectomy should not be a contraindication to further lung resection. We report two cases of lung cancer resection in the residual lung 6 and 11 years following pneumonectomy respectively. A limited resection can be safely performed for a new pulmonary parenchymal lesion on a background of a previous pneumonectomy.


Cite this paper
T. Tsitsias, P. Gupta, K. Lau, N. Harvey and S. Rathinam, "Pulmonary Resection for Metachronous Lung Cancer Following Contralateral Pneumonectomy," Open Journal of Thoracic Surgery, Vol. 3 No. 1, 2013, pp. 15-18. doi: 10.4236/ojts.2013.31004.
References
[1]   C. Deschamps, P. C. Pairolero, V. F. Trastek and W. S. Payne, “Multiple Primary Lung Cancers,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 99, No. 5, 1990, pp. 769-778.

[2]   T. W. Shields, C. T. Drake and J. C. Sherick, “Bilateral Primary Bronchogenic Carcinoma,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 48, 1964, pp. 401-417.

[3]   A. Terzi, A. Lonardoni, P. Scanagatta, S. Pergher, C. Bonadiman and F. Calabrò, “Lung Resection for Bronchogenic Carcinoma after Pneumonectomy: A Safe and Worthwhile Procedure,” European Journal of Cardio-Thoracic Surgery, Vol. 25, No. 3, 2004, pp. 456-459. doi:10.1016/j.ejcts.2003.12.024

[4]   T. Grodzki, J. Alchimowicz, A. Kozak, B. Kubisa, J. Pieróg, J. Wójcik, et al., “Additional Pulmonary Resections after Pneumonectomy: Actual Long-Term Survival and Functional Results,” European Journal of Cardio-Thoracic Surgery, Vol. 34, No. 3, 2008, pp. 493-498. doi:10.1016/j.ejcts.2008.05.023

[5]   T. A. Salerno, D. D. Munro, P. E. Blundell, et al., “Second Primary Bronchogenic Carcinoma: Life-Table Analysis of Surgical Treatment,” The Annals of Thoracic Surgery, Vol. 27, No. 1, 1979, pp. 3-6. doi:10.1016/S0003-4975(10)62961-X

[6]   C. F. Kittle, L. P. Faber, R. J. Jensik, et al., “Pulmonary Resection in Patients after Pneumonectomy,” The Annals of Thoracic Surgery, Vol. 40, No. 3, 1985, pp. 294-299. doi:10.1016/S0003-4975(10)60045-8

[7]   P. Levasseur, J. F. Regnard, P. Icard, et al., “Cancer Surgery on a Single Residual Lung,” European Journal of Cardio-Thoracic Surgery, Vol. 6, No. 12, 1992, pp. 639-641. doi:10.1016/1010-7940(92)90187-3

[8]   C. J. Westermann, H. A. van Swieten, A. Brutel de la Riviere, et al., “Pulmonary Resections after Pneumonectomy in Patients with Bronchogenic Carcinoma,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 106, No. 5, 1993, pp. 868-873.

[9]   N. Martini and M. Melamed, “Multiple Primary Lung Cancers,” Journal of Thoracic and Cardiovascular Surgery, Vol. 70, No. 4, 1975, pp. 606-611.

[10]   R. Abbey-Smith, B. K. Nigam, et al., “Second Primary Lung Cancer Carcinoma,” Thorax, Vol. 31, No. 5, 1976, pp. 507-516. doi:10.1136/thx.31.5.507

[11]   R. J. Jensik, L. P. Faber and C. F. Kittle, “Survival Following Resection for Second Primary Bronchogenic Carcinoma,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 82, No. 5, 1981, pp. 658-663.

[12]   Bitish Thoracic Society, “Guidelines on the Selection of Patients with Lung Cancer for Surgery,” Thorax, Vol. 56, No. 2, 2001, pp. 89-108. doi:10.1136/thorax.56.2.89

[13]   G. Massard, J. M. Wihlm and G. Monard, “Surgical Management for Metachronous Bronchogenic Carcinoma after Pneumonectomy,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 109, No. 3, 1995, pp. 597-599. doi:10.1016/S0022-5223(95)70300-4

 
 
Top