Clinical and surgical approaches for malignant pulmonary lesions after a previous extrapulmonary malignancy.
Yunus SeyrekLevent CanseverMehmet Ali BedirhanPublished in: ANZ journal of surgery (2021)
PL monitoring on CT surveillance is essential, particularly in patients with previous head and neck cancers, who appear to have a higher risk for NLC. If pathological MLN accompanies PL in a patient with previous extrapulmonary malignancy, cervical mediastinoscopy may help acquire a possible PL diagnosis besides mediastinal staging. Intraoperative frozen section may have difficulty in distinguishing between PM and NLC when the lesion is of the same histological type as the previous malignancy. When precise distinction cannot be achieved by frozen section, we speculate that DFI, age, and radiological findings of the PL may help thoracic surgeons take initiative peroperatively while designating the subsequent surgical intervention. Lastly, pulmonary segmentectomy is also better be considered along with lobectomy in NLC cases.
Keyphrases
- pulmonary hypertension
- lymph node
- quality improvement
- randomized controlled trial
- public health
- computed tomography
- spinal cord
- particulate matter
- case report
- contrast enhanced
- thoracic surgery
- magnetic resonance imaging
- heavy metals
- patients undergoing
- pet ct
- dual energy
- magnetic resonance
- spinal cord injury
- ultrasound guided
- young adults