Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer

Abstract Background Malignant pleural mesothelioma (MPM) is an uncommon malignant tumor, and its synchronous occurrence with primary lung cancer is extremely rare. Here, we report the first surgical case of synchronous MPM and contralateral lung adenocarcinoma. Extrapleural pneumonectomy (EPP) combi...

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Main Authors: Naoko Imanishi, Yusuke Nabe, Masaru Takenaka, Yasuhiro Chikaishi, Koji Kuroda, Hirotsugu Noguchi, Kazuhiro Yatera, Fumihiro Tanaka
Format: Article
Language:English
Published: SpringerOpen 2017-05-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-017-0336-9
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author Naoko Imanishi
Yusuke Nabe
Masaru Takenaka
Yasuhiro Chikaishi
Koji Kuroda
Hirotsugu Noguchi
Kazuhiro Yatera
Fumihiro Tanaka
author_facet Naoko Imanishi
Yusuke Nabe
Masaru Takenaka
Yasuhiro Chikaishi
Koji Kuroda
Hirotsugu Noguchi
Kazuhiro Yatera
Fumihiro Tanaka
author_sort Naoko Imanishi
collection DOAJ
description Abstract Background Malignant pleural mesothelioma (MPM) is an uncommon malignant tumor, and its synchronous occurrence with primary lung cancer is extremely rare. Here, we report the first surgical case of synchronous MPM and contralateral lung adenocarcinoma. Extrapleural pneumonectomy (EPP) combined with surgery for contralateral lung cancer may not be tolerated, and a lung-sparing procedure including pleurectomy/decortication (P/D) can be an alternative to achieve complete resection. Case presentation A 69-year-old male with right MPM and lung adenocarcinoma in the left upper lobe presented. Two lesions were judged to be synchronous MPM and lung cancer that were both potentially resectable clinical stage I diseases, and complete resection of both tumors was successfully achieved with right P/D following left upper division segmentectomy. Conclusions P/D, not EPP, is a less invasive surgical procedure for MPM with curative intent and can be performed in combination with contralateral lung resection.
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spelling doaj.art-843409a8e0724c58961b967e89b2c3132022-12-22T02:43:32ZengSpringerOpenSurgical Case Reports2198-77932017-05-01311410.1186/s40792-017-0336-9Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancerNaoko Imanishi0Yusuke Nabe1Masaru Takenaka2Yasuhiro Chikaishi3Koji Kuroda4Hirotsugu Noguchi5Kazuhiro Yatera6Fumihiro Tanaka7Second Department of Surgery, University of Occupational and Environmental HealthSecond Department of Surgery, University of Occupational and Environmental HealthSecond Department of Surgery, University of Occupational and Environmental HealthSecond Department of Surgery, University of Occupational and Environmental HealthSecond Department of Surgery, University of Occupational and Environmental HealthDepartment of Pathology and Cell Biology, School of Medicine, University of Occupational and Environmental HealthDepartment of Respiratory Medicine, University of Occupational and Environmental HealthSecond Department of Surgery, University of Occupational and Environmental HealthAbstract Background Malignant pleural mesothelioma (MPM) is an uncommon malignant tumor, and its synchronous occurrence with primary lung cancer is extremely rare. Here, we report the first surgical case of synchronous MPM and contralateral lung adenocarcinoma. Extrapleural pneumonectomy (EPP) combined with surgery for contralateral lung cancer may not be tolerated, and a lung-sparing procedure including pleurectomy/decortication (P/D) can be an alternative to achieve complete resection. Case presentation A 69-year-old male with right MPM and lung adenocarcinoma in the left upper lobe presented. Two lesions were judged to be synchronous MPM and lung cancer that were both potentially resectable clinical stage I diseases, and complete resection of both tumors was successfully achieved with right P/D following left upper division segmentectomy. Conclusions P/D, not EPP, is a less invasive surgical procedure for MPM with curative intent and can be performed in combination with contralateral lung resection.http://link.springer.com/article/10.1186/s40792-017-0336-9MesotheliomaLung cancerSynchronousLung-sparing surgeryPleurectomy/decortication
spellingShingle Naoko Imanishi
Yusuke Nabe
Masaru Takenaka
Yasuhiro Chikaishi
Koji Kuroda
Hirotsugu Noguchi
Kazuhiro Yatera
Fumihiro Tanaka
Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
Surgical Case Reports
Mesothelioma
Lung cancer
Synchronous
Lung-sparing surgery
Pleurectomy/decortication
title Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
title_full Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
title_fullStr Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
title_full_unstemmed Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
title_short Successful lung-sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
title_sort successful lung sparing resection of synchronous pleural mesothelioma and contralateral lung cancer
topic Mesothelioma
Lung cancer
Synchronous
Lung-sparing surgery
Pleurectomy/decortication
url http://link.springer.com/article/10.1186/s40792-017-0336-9
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