サルコイドーシス合併,原発不明縦隔リンパ節癌切除後18カ月目に発見された肺癌の1例

  • 北 雄介
    静岡済生会総合病院 呼吸器外科 浜松医科大学 第1外科
  • 近藤 大造
    静岡済生会総合病院 呼吸器外科

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  • Occult lung cancer with sarcoidosis; a case report. The primary lesion appeared on chest X-ray taken 18 months after resection of mediastinal lymph node metastases.

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A 61-year-old male had enlarged lymph nodes in the right middle and lower lobe, upper mediastinum and left hilum, but the primary cancer could not be found. The right paratracheal pretracheal lymph nodes were especially enlarged (8cm in diameter).The lymph nodes were resected, and the histological diagnosis was metastatic adenocarcinoma. We performed right middle and lower lobectomy and RID lymph node dissection. But the histologic result of operated spesimen of the lymph nodes from the other sites were sarcoidosis. We could find no malignant lesion in the resected lung spesimen. A primary lesion was identified 18 months after the operation.

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