Cordoş I, Orghidan M, Paleru C, Strâmbu Irina, Codreş Mihaela, Cadar Genoveva, Stoica R, Crişan Emilia
Institutul de Pneumologie Marius Nasta, Bucureşti.
Pneumologia. 2005 Jul-Sep;54(3):145-8.
The emergence of a secondary pulmonary neoplasm at some time after the primary one raises diagnostic and therapeutic issues especially in patients with functional respiratory capacities at the limits of resectability. We present the case of a 53 years old patient which suffered a right upper lobectomy three years before for a moderately differentiated squamous carcinoma and in which a second cancer was discovered in the right main bronchus. Para-clinic explorations demonstrated the lack of local and systemic invasion of the second cancer. The optimal therapeutic way is presented and its result, discussing also the means for long term follow-up of the patients operated for non-small cell lung cancer.
原发性肺部肿瘤出现一段时间后继发性肺部肿瘤的出现引发了诊断和治疗问题，尤其是对于呼吸功能处于可切除极限的患者。我们报告一例53岁患者的病例，该患者三年前因中分化鳞状细胞癌接受了右上叶切除术，此次在右主支气管发现了第二种癌症。临床旁检查表明第二种癌症不存在局部和全身侵犯。本文介绍了最佳治疗方法及其结果，并讨论了非小细胞肺癌手术患者的长期随访方法。
