Metachronous Lung Cancer After Pleurectomy/Decortication

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Metachronous Lung Cancer After Pleurectomy/Decortication Yuichiro Kai, MD, Yasuhiro Tsutani, MD, PhD, Masaoki Ito, MD, PhD, Takeshi Mimura, MD, PhD, Yoshihiro Miyata, MD, PhD, Morihito Okada, MD, PhD  The Annals of Thoracic Surgery  Volume 107, Issue 1, Pages e1-e3 (January 2019) DOI: 10.1016/j.athoracsur.2018.05.087 Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography scan of a 59-year-old man with malignant pleural mesothelioma and second primary lung cancer. (A) Before pleurectomy/decortication, there is pleural thickening but no lung nodule. (B) After pleurectomy/decortication, a small amount of pleural effusion and atelectasis are seen. (C) Before wedge resection, a 1.3-cm lung lesion is seen in the right upper lobe. The Annals of Thoracic Surgery 2019 107, e1-e3DOI: (10.1016/j.athoracsur.2018.05.087) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Findings on wedge resection: (A) severe adhesions of the lung parenchyma with the chest wall; (B) wedge resection by a powered stapling device; (C) major air leakages from the lung parenchyma; (D) implantation of latissimus dorsi muscle flap. The Annals of Thoracic Surgery 2019 107, e1-e3DOI: (10.1016/j.athoracsur.2018.05.087) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions