Successful treatment of lung adenocarcinoma in an 18-year-old man.

Abstract

Primary lung cancer is an extremely rare neoplasm in young adults. We report a case of a primary lung adenocarcinoma in an 18-year-old man who presented for examination of a solitary nodule located in the right lower lobe of the lung. A right lower lobectomy was performed with an incomplete resection because of pleural dissemination (pT4N2M0 stage IIIB adenocarcinoma). Intrathoracic chemotherapy (cisplatin, 50 mg/body) was administered initially, followed by systemic chemotherapy (carboplatin + paclitaxel). A bronchopleural fistula occurred 2 months postoperatively and was successfully treated with conservative therapy, including thoracic drainage, intrathoracic fibrin glue administration, and transbronchial superglue administration. Thereafter, a total of five courses of systemic chemotherapy with minor changes in the administration regimen were performed. The patient was alive and with no evidence of recurrence at his 5-year follow-up.

• Authors: Tetsuya So, Hidetaka Uramoto, Takeshi Hanagiri, Mitsuhiro Takenoyama, Kenji Ono, Tomoko So, Takashi Yoshimatsu, Kosei Yasumoto
• Journal: General thoracic and cardiovascular surgery (Gen Thorac Cardiovasc Surg) Vol. 59 Issue 9 Pg. 616-8 (Sep 2011) ISSN: 1863-6713 [Electronic] Japan
• PMID: 22231790 (Publication Type: Case Reports, Journal Article)

Topics

• Adenocarcinoma (diagnosis, pathology, surgery)
• Adolescent
• Bronchial Fistula
• Diagnosis, Differential
• Humans
• Lung Neoplasms (diagnosis, pathology, surgery)
• Male
• Pleural Diseases
• Postoperative Complications
• Thoracic Surgical Procedures