Complete Pleuropneumonectomy for Non-Small Cell Lung Cancer Complicated with Chronic Bacterial Empyema and Cavitary Pulmonary Tuberculosis.

概要

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A 62-year-old man was given a diagnosis of primary lung cancer in the right lower lobe with chronic bacterial empyema and cavitary tuberculosis in the right upper lobe. He underwent complete pleuropneumonectomy. Pathological examination revealed that the tumor was pT2N1M0 squamous cell lung cancer. There was no direct communication between the neoplasm and free pleural cavity microscopically. The empyema might have occurred secondary to obstructive pneumonia caused by the tumor involvement of the lower respiratory tract. The empyema microbe was identified as staphylococcus aureus (MSSA). Mycobacterium tuberculosis was detected from the cavitary lesion of upper lobe. His clinical course was good and no recurrence of lung cancer, empyema or pulmonary tuberculosis has been detected at 20 months after the operation.
特定非営利活動法人日本肺癌学会の論文