Preoperative Empyema can be a Cause of Cancel Bronchial Sleeve Resection for Lung Cancer? | Chapter 12 | New Insights into Disease and Pathogen Research Vol. 2
Surgical management of the cancer with
empyema has rarely been reported in the literature because few of such cases
are operable. Many patients might be misevaluated because of the incorrect
staging associated with an acute or sub- acute infection. Even in the presence
of an operable tumor mass; surgeons behave timid to these patients because of
the possibility of infective postoperative complications. The balance between
expected benefits and possible risk of surgical intervention is also important.
If it is indicated, by the time pleural empyema is restored, procedures such as
resection and even bronchoplasty should be performed. 59- years old patient the
squamous cell carcinoma had completely obstructed left basal segments and
caused to empyema. A thoracic catheter was inserted. Multiple pleural
irrigations were done and proper antibiotherapy. Pathologic diagnosis of
pleural fluid and pleural biopsy were benign. Pleural cultures were negative
and amount of empyema fluid volume has decreased within two months. Positron
emission tomography (PET) revealed a 2,5 cm sized left infrahilar tumor, right
paratracheal, prevascular and subcarinal lymph nodes and non- homogeneous
increased pleural activity. Mediastinal lymph nodes were evaluated as reactive
with mediastinoscopy. Left lower lobectomy and lingulectomy were performed with
bronchial resection and pathologic stage was 2A (T1bN1MO).
Author(s) Details
Nilgün Kanlıoğlu Kuman
Department of Thoracic
Surgery, Faculty of Medicine, Adnan Menderes University, Aydın, Turkey.
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