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Ann Thorac Surg 2004;78:2154-2155
© 2004 The Society of Thoracic Surgeons

Case report

Metachronous and Synchronous Lung Tumors: Five Malignant Lung Pathologies in 1 Patient During 7 Years

Michael J. Flynn, FRCSI*,a,b, Doris Rassl, MRCPatha,b, Amira El Shahira, MBa,b, Bernard Higgins, MRCPa,b, Sion Barnard, FRCSa,b

a Department of Cardiothoracic Surgery, Newcastle-on-Tyne, United Kingdom
b Department of Pathology, and Respiratory Medicine, Freeman Hospital, Newcastle-on-Tyne, United Kingdom

Accepted for publication July 29, 2003.

* Address reprint requests to Dr Flynn, Department of Cardiac Surgery, Freeman Hospital, High Heaton, Newcastle-on-Tyne NE7 7DN, UK
barradrum{at}hotmail.com

We present the case of a 70-year-old man who previously had a left upper lobectomy for nonsmall cell lung carcinoma that subsequently developed into small cell carcinoma, which was successfully treated, and finally he had a right upper lobectomy that revealed three synchronous lung malignancies. We were unable to find a previous case report with a total of five separate lung malignancies with a combination of metachronous and synchronous tumors. This case demonstrates the importance of screening after the diagnosis and treatment of lung carcinoma.






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Copyright © 2004 by The Society of Thoracic Surgeons.