Sonoda Dai, Mikubo Masashi, Shiomi Kazu, Satoh Yukitoshi
Department of Thoracic Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Department of Thoracic Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Ann Thorac Surg. 2017 Feb;103(2):e119-e120. doi: 10.1016/j.athoracsur.2016.07.023.
Ultralate recurrence 10 years after curative resection for lung cancer is extremely rare. We report the rare case of an 80-year-old man who underwent complete resection of oligorecurrence of the ipsilateral chest wall 19 years after resection for stage I non-small cell lung cancer (NSCLC). Transcutaneous computed tomographic-guided biopsy revealed histologic features identical with those of the previously resected NSCLC. When abnormal findings are present in patients with postoperative NSCLC, even though an extended period has passed after complete resection, the possibility of metastasis and recurrence must be considered. Moreover, surgical resection should be considered for oligorecurrence of NSCLC.
肺癌根治性切除术后10年出现超晚期复发极为罕见。我们报告了一例罕见病例，一名80岁男性在I期非小细胞肺癌（NSCLC）切除术后19年，接受了同侧胸壁寡转移灶的完整切除。经皮计算机断层扫描引导下活检显示组织学特征与先前切除的NSCLC相同。对于术后NSCLC患者，即使在完全切除后经过了很长时间，当出现异常发现时，也必须考虑转移和复发的可能性。此外，对于NSCLC寡转移灶应考虑手术切除。
