Aydın TAŞDÖĞEN, Volkan KARAÇAM, Nezih ÖZDEMİR, Hasan HEPAĞUŞLAR, Kadriye Banu GÖKÇEN, Ahmet ÖNEM, Gün Murat EYÜPOĞLU, Aydın ŞANLI

Sağ pnömonektomi sonrası sol akciğere kama rezeksiyonu: Olgu sunumu

Evre I skuamöz hücreli akciğer kanseri nedeniyle 12 yıl önce sağ pnömonektomi yapılan ve takibe alınan 67 yaşındaki erkek hastanın göğüs tomografilerinde sol akciğer alt lob superior segmentinde büyüyen 8 mm'lik nodül gözlendi. Florodeoksiglukoz-pozitron emisyon tomografisi (FDG-PET)'nde metabolik özellikte olmayan bir kitle görüldü. Evre I tümör olması üzerine, sol alt lob superior segmente kama rezeksiyonu uygulanmadan önce, sol alt lob oklüde edildi ve sol üst lob seçici şekilde ventile edildi. Nodülün histopatolojisinin müsinöz adenokarsinom olduğu bildirildi. Pnömonektomi sonrası karşı tarafta gelişen sekonder akciğer kanserinin klinik evre I hastalık olması ve kama rezeksiyonu ya da segmentektomiye uygun ve hastanın yeterli solunum rezervine sahip olması durumunda cerrahi rezeksiyon endikasyonu vardır.

Left lung wedge resection after right pneumonectomy: A case report

A progressing nodule of 8 mm in diameter was observed in the lower lobe superior segment of the left lung on thoracic tomography in a 67-year-old male patient who had right pneumonectomy 12-years ago due to stage I squamous cell carcinoma. A non-metabolic nodule was observed in fluorodeoxyglucose-positron emission tomography (FDG-PET). Since it was a stage I tumor, left lower lobe was occluded and left upper lobe was selectively ventilated prior to a wedge resection in the superior segment of the left lower lobe. The histopathology of the nodule was reported as mucinous adenocarcinoma. After pneumonectomy, the development of contralateral secondary lung cancer has surgical resection indication if the cancer is a clinical stage I disease and appropriate for wedge resection or segmentectomy and the patient has an adequate respiratory reserve.

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