[Right pneumonectomy for multiple secretory metastasis of adenocarcinoma in a patient with a left lower lobe resection]

The authors present the case of a female patient with a left lower lobe resection 30 years before, performed for bronchiectasis, operated 6 years before for a secretory adenocarcinoma of the uterus, presenting for severe dyspnea and cough with abundant serous sputum secretion (over 500 ml per day). In the right lung there were several great cysts which proved to be metastasis of the uterine adenocarcinoma. The patient had severe loss of lung volumes, respiratory failure and a single left lobe. Nonetheless a right pneumonectomy was performed for palliation, addressing the cough and huge expectoration. After surgery the symptoms improved significantly and the patient survived another 6 months in decent condition.