A case report of acute exacerbation of idiopathic pulmonary fibrosis after surgery for lung cancer.

DOI
  • Katakura Hiromichi
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Yokomise Hiroyasu
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Kanemitsu Naoki
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Bando Toru
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Kosaka Sinji
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Okube Kenichi
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Teramachi Masami
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Takahashi Yutaka
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Inui Kenji
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Yagi Kazuyuki
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Mizuno Hiroshi
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Aoki Minoru
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Wada Hiromi
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University
  • Hitomi Shigeki
    Department of Thoracic Surgery, Chest Disease Research Institute, Kyoto University

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Other Title
  • 肺癌手術後，肺線維症の急性増悪を示した肺癌合併特発性肺線維症の１例

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Abstract

A 63-year-old male was admitted because of an abnormal shadow on his chest x-ray. A transbronchial lung biopsy revealed squamous cell carcinoma and idiopathic pulmonary fibrosis. Mediastinoscopy, left upper lobectomy, partial resection of the left lower lobe and dissection of mediastinal lymph nodes were performed. On the 4th day after operation, PaO2 was low and reticular shadows on chest x-ray were increased. Antibiotics and methylprednisolone (6g/day) were administered, but his condition did not improve, and he died on the 29th day after operation. Our experience indicates that when surgery is necessary for a patient with idiopathic pulmonary fibrosis, we must be very careful that the duration of the operation is short and the oxygen concentration must be less than 50% during the operation to prevent lung damage.

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