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Ann Thorac Surg 2005;80:1124-1126
© 2005 The Society of Thoracic Surgeons

Case report

Postoperative Pleural Effusion in Bronchioloalveolar Cancer

Natalie D. Shaw, BS, Eddie L. Hoover, MD *

Division of Thoracic Surgery, VA Western New York Healthcare System, and State University of New York at Buffalo, Buffalo, New York, USA

Accepted for publication March 8, 2004.

* Address reprint requests to Dr Hoover, 3495 Bailey Ave, Buffalo, NY14215; (Email: eddie.hoover{at}med.va.gov).

Bronchioloalveolar carcinoma occasionally presents with bronchorrhea and can appear on roentgenogram as cavitary lesions similar to a lung abscess. We present a case of multifocal, cavitary bronchioloalveolar cancer, which was originally treated unsuccessfully as lung abscesses. At surgery, two cavities were identified without evidence of tumor or chronic infection and were left open. The postoperative course was complicated by 5 weeks of massive chest tube drainage, which was finally controlled with radiation and time. This report chronicles our difficulty with diagnosis and management and suggests recommendations for future providers.






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