Original article: general thoracicSubsequent pulmonary resection for bronchogenic carcinoma after pneumonectomy
Section snippets
Material and methods
Between January 1, 1980 and June 30, 2001, 772 patients underwent pneumonectomy at the Mayo Clinic in Rochester, MN, for lung cancer. Twenty-four (3.1%) of these patients underwent subsequent resection for lung cancer in the contralateral lung. Patients who underwent pulmonary resection for benign disease or other malignancies were excluded. The records of these patients were analyzed for age, sex, preoperative conditions, pulmonary function, initial cell type and postsurgical stage, extent of
Results
There were 24 patients (18 men and 6 women) who underwent 25 subsequent pulmonary resections for lung cancer after pneumonectomy. Median age at the subsequent resection was 64 years and ranged from 43 to 84 years. Twenty-three patients (95.8%) were current or former smokers. Nine patients (37.5%) had a completion pneumonectomy. Twelve patients (50%) had a previous right pneumonectomy. Cell type of the original cancer was squamous cell carcinoma in 10 patients, adenocarcinoma in 8, large cell
Comment
Patients with a completely resected bronchogenic carcinoma have a 5% to 10% risk of having a new lung cancer [3] and a 30% to 80% risk of having recurrent disease 2, 4. This percentage will continue to increase as patient survival improves. Nevertheless, surgical resection for bronchogenic carcinoma of the residual lung after pneumonectomy is rarely reported. Fewer than 100 cases have been published in the literature during the last 35 years 5, 7, 8, 9, 10, 11, 12, 13, 14. Factors limiting
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