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- W2316594034 abstract "当科で片肺全摘後の残存肺に発生した新規病変に対して切除を行った3例を検討した.【症例1】72歳男性.肺扁平上皮癌に対して左肺全摘術施行(ypT1bN0M0).3年後対側肺の新規病変に対し,右下葉部分切除術を施行.術後病理診断の結果,肺内転移と診断.術後1年2ヵ月で全身転移のため原病死.【症例2】66歳男性.肺腺癌に対して左肺全摘術を施行(pT4N0M0,PM2).3年後対側肺の新規病変に対し,右上葉および中葉部分切除を施行.術後病理診断の結果,肺内転移と診断.術後3年7ヵ月で肺炎にて死亡.【症例3】71歳男性.左肺MALTリンパ腫に対して左肺全摘術を施行.20年後対側肺の新規病変に対し,胸腔鏡補助下右S1区域切除術を施行.術後病理診断の結果,肺腺癌(pT2aN0M0)と診断.術後3年3ヵ月で劇症肝炎にて死亡.3症例とも術後経過に問題なく軽快退院している.術前に心肺機能などの耐術能の評価および病変の局在や大きさ,片肺全摘術後の時間経過などから,適切な症例選択と術式選択を行うことにより,片肺全摘後の対側肺切除も治療の選択肢の一つになりうると考えられる." @default.
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- W2316594034 date "2015-01-01" @default.
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- W2316594034 title "Three cases of pulmonary resection for new lesions in the contralateral lung following pneumonectomy" @default.
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- W2316594034 doi "https://doi.org/10.2995/jacsurg.29.198" @default.
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