A case of chest wall recurrence of lung cancer.

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  • 肺癌手術後の胸壁転移に対する１手術例

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Abstract

A 71-year-old male underwent left upper lobectomy for lung cancer (large cell carcinoma) at another hospital in November 1997. He developed left anterior chest skin redness in June 2002, diagnosed as intractable phlegmon. A needle biopsy histologically demonstrated large cell carcinoma, and the patient was referred to our hospital for treatment of chest wall metastasis in August 2002. Chest CT showed a mass lesion (60×60×42mm) in the left anterior chest wall invading to the pericardium. Induction therapy (radiotherapy and chemotherapy) was performed to reduce the tumor size, then chest wall resection and reconstruction was performed with Marlex mesh and rectus abdominis myocutaneous flap.rOn postoperative day 7, pyothorax occurred surrounding the Marlex mesh. Removing the mesh improved the pyothorax, the patient recovered well and was discharged. Complete resection of chest wall recurrence was successful by multimodal-therapy.

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