Assessment of surgical treatment for distant metastasis from completely resected non-small cell lung cancer

Hasumi, Toru; Sato, Nobuyuki; Ohta, S; Sato, Masami; Endo, Chiaki; Kondo, Takashi; Suzuki, Hiroyuki; Oizumi, Hiroyuki; Chida, Masayuki; Tsushima, Takao; Sakuma, Tsutomu; Saito, Yasuki

doi:10.2995/jacsurg.21.011

Cited by 1 publication

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“…In NSCLC, careful patient selection for complete resection of both primary and metastatic sites can result in a favorable outcome. Hasumi et al reported on 35 surgically resected NSCLC with oligometastasis and concluded that patients without lymph node metastases had long-term survival [ 5 ]. For pleomorphic carcinoma, Aokage et al reported two patients who survived for over 4 years after resection of the primary site and the gastric metastasis [ 6 ] and Yamanashi et al reported a patient with brain metastasis who was successfully treated by brain metastasectomy followed by chemotherapy and resection of the primary lesion [ 7 ].…”

Section: Case Presentationmentioning

confidence: 99%

Stage IV pleomorphic carcinoma of the lung without recurrence for 6 years: a case report

et al. 2017

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BackgroundPleomorphic carcinoma is a rare primary lung carcinoma that occurs at a rate of about 0.3%. Even with complete resection, the tumor usually recurs aggressively, resulting in a poor prognosis. Herein, we report a case of advanced pleomorphic carcinoma of the lung who had a long survival time after resection of the primary and metastatic sites.Case presentationA 48-year-old man was admitted to our hospital due to abdominal pain. Systemic examination revealed a lung mass on the right and a tumor in the jejunum. Surgical resection of both tumors revealed pleomorphic carcinoma of the lung with metastasis to the jejunum. Follow-up after 6 years showed that the patient remained recurrence-free, without the need for additional postoperative treatment.ConclusionsA vigorous treatment strategy that included surgery had the potential to offer long-term survival, despite an advanced pleomorphic carcinoma with distant metastasis to other organs. Reports on more similar cases are needed to evaluate the value of this treatment option.

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Section: Case Presentationmentioning

confidence: 99%