[症例報告]右肺全摘と胃全揃を施行した同時性肺, 胃重複癌の1例

概要

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A 60-year-old man complaining of weight loss and general fatigue was referred to our hospital because of an abnormal chest radiograph. CT scan and transbronchoscopic lung biopsy revealed lung cancer (squamous cell carcinoma,c-T3N2M0, StageIIIA). At the same time, upper gastrointestinal X-ray examination and fiber gastroscopy showed an irregularity of the mucosa near the cardia and two polyps at the pylorus. A histological diagnosis of adenocarcmoma was made from transgastroscopic biopsy. At first, a right pneumonectomy was performed because of the lung cancer. Two months later, total gastrectomy was done because of the gastric cancer. The postoperative course of both operations was uneventful. Although the patient died 18 months after his second operation due to cerebral infarction, there had been no sign of recurrence, after all, he had maintained a good quality of life more than 13 months. We conclude that such extensive procedures as combined pneumonectomy and total gastrectomy should be considered as the treatment of choice, if complete resection could be performed safely.
琉球医学会,Ryukyu Medical Associationの論文