Tamura Masaya, Doba Shotaro, Funaki Kojiro, Sasaki Shozo, Michiwa Yoshio, Kurosaka Yoshiyuki, Takekawa Shigeru, Kiriyama Masato, Kojima Yasuhiko, Kita Toshiyuki, Kawashima Atsuhiro
Dept. of Surgery, National Hospital Organization Kanazawa Medical Center.
Gan To Kagaku Ryoho. 2006 Nov;33(11):1611-4.
A 43-year-old man presented at our hospital with a complaint of cough and sputum. A plain chest X-ray and CT scan revealed a tumor shadow 8 cm in size in the right hilar and enlarged mediastinal lymph node. The tumor had invaded the superior vena cava. A tumor biopsy done under bronchoscopy revealed poorly-differentiated adenocarcinoma (cT4N2M0). He was given three courses of a combination therapy consisting of cisplatin (80 mg/m(2)), vinorelbine (25 mg/m(2)) and mitomycin C (8 mg/m(2)). Additionally, concurrent chemoradiotherapy (cisplatin 80 mg/m(2)+etoposide 100 mg/m(2), and 45 Gy) was performed. Right pneumonectomy was performed, because the primary tumor and the enlarged lymph node were markedly reduced in size, and a histological examination of the resected specimen revealed no detectable cancer cells.