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A Case of G‐CSF-producing Invasive Apical Cancer Resected following Preoperative Adjuvant Therapy
- Source :
- The Thoracic and Cardiovascular Surgeon. 58:304-306
- Publication Year :
- 2010
- Publisher :
- Georg Thieme Verlag KG, 2010.
-
Abstract
- The patient was a 47-year-old male with the chief complaints of right shoulder pain and fever. A 10-cm mass was found to be present in the right pulmonary apical region on chest X-ray examination. The mass was diagnosed as a G-CSF-producing invasive apical cancer and the patient underwent chemoradiotherapy followed by right upper lobectomy with combined resection of the chest wall, and lymph node dissection. A very small nodule was noted in the right frontal lobe on brain MRI before surgery, and the final diagnosis was pT3N0M1, stage IV lung adenocarcinoma. For the brain metastasis, gamma knife treatment and chemotherapy were performed after surgery, and there was no recurrence during 16 months after surgery. The prognosis for G-CSF-producing lung cancer and invasive apical cancer is poor. This was a rare and difficult case of lung cancer showing both characteristics of lung cancer.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Neoplasms
Biopsy
Adenocarcinoma
Neurosurgical Procedures
Antineoplastic Combined Chemotherapy Protocols
Granulocyte Colony-Stimulating Factor
medicine
Adjuvant therapy
Humans
Neoplasm Invasiveness
Pneumonectomy
Thoracic Wall
Lung cancer
Neoplasm Staging
Lung
Brain Neoplasms
business.industry
Cancer
Middle Aged
medicine.disease
Neoadjuvant Therapy
Surgery
Treatment Outcome
medicine.anatomical_structure
Chemotherapy, Adjuvant
Cardiothoracic surgery
Positron-Emission Tomography
Lymph Node Excision
Radiotherapy, Adjuvant
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Chemoradiotherapy
Brain metastasis
Subjects
Details
- ISSN :
- 14391902 and 01716425
- Volume :
- 58
- Database :
- OpenAIRE
- Journal :
- The Thoracic and Cardiovascular Surgeon
- Accession number :
- edsair.doi.dedup.....e6218c604cb84096e1f1d085e9fbce40