A case of surgically resected synchronous lung cancer and hilar lymph node metastases from unknown primary site

Munehiro Nishida, Issei Hirai, Yozo Kokawa, Tatsuya Yoshimasu, Shoji Oura, Toshiya Bessho, Osamu Nishimura, Yoshitaka Okamura
2004 The Journal of the Japanese Association for Chest Surgery  
A 70-year-old woman complaining of cough was admitted to our hospital. Chest X-ray and CT demonstrated a tumor, 3.5cm in diameter, on the left S6 and swelling of lt. hilar lymph node. A transbronchial biopsy from the 56 tumor revealed adenocarcinoma. On October 31, 2001, the patient underwent left lower lobectomy and regional lymph node resection. Pathological examination showed that the pulmonary tumor was moderately differentiated adenocarcinoma (p-T2NOMO stage IB) and the hilar lymph nodes
more » ... 10, #11, #12) showed small cell carcinoma (p-TON1M0 stagellA). The patient received adjuvant chemotherapy and is well without recurrence 22 months after surgery.
doi:10.2995/jacsurg.18.4_593 fatcat:ke7nlupva5fihgbfcde3szi3fu