Limited resection procedure for metachronous lung neoplasm
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2nd Department of Propedeutic Surgery, National and Kapodistrian University of Athens Medical School, “Laiko” General Hospital, Athens, Greece
Respiratory Intensive Care Unit, ‘Sotiria’ Hospital of Chest Diseases, Athens, Greece
Periklis Tomos   

Thoracic Surgery Second Department of Propedeutic Surgery, University of Athens Medical School, “Laiko” General Hospital 17 Agiou Thoma St., 11527, Athens, Greece
Pneumon 2012;25(4):428–431
A 57 year-old male smoker presented with weight loss and hypertrophic osteoarthropathy. Imaging studies revealed a solid mass (maximum diameter 4.2 cm) located in the left lung and left upper lobectomy was carried out. Histopathology showed low differentiated adenocarcinoma and the patient received adjuvant chemotherapy. Bronchoscopy performed 3 years later to exclude specific infection revealed complete obstruction of the posterior segment of the right upper lobe by a highly vascular, smooth margined mass. At thoracotomy the frozen section was negative for malignancy and histopathological examination revealed a typical carcinoid tumour. The excellent prognosis of this histological type of tumour allowed avoidance of a major surgical procedure and the lesion was resected by bronchotomy with reconstruction of the bronchial gap. 
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