Lung adenocarcinoma on scar of previous segmentectomy for benign nodule. Case presentation

Authors

  • Pedro Uad Hospital Italiano Buenos Aires
  • Micaela Raices Servicio de Cirugía General. Hospital Italiano de Buenos Aires. Jefe de Residentes.
  • María E Cano Hospital Italiano de Buenos Aires
  • Agustin Dietrich Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Médico Adscripto
  • David Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Jefe de Sector.

DOI:

https://doi.org/10.31053/1853.0605.v77.n3.29294

Keywords:

surgery, adenocarcinoma, scar, lobectomy

Abstract

Introduction: Lung cancer is the leading cause of cancer-related mortality worldwide. Although lung cancer is predominantly observed in smokers, non-smoking patients account for 20% of cases worldwide. In this article, we present a case of lung adenocarcinoma that originated from a postoperative scar.

We present a 62-year-old male patient who, while being studied for Paget's disease of bone, presented a 1.5 cm pulmonary nodule (SUV 1.6) as an imaging finding in the posterior segment of the left lung. He underwent a upper left lung segmentectomy.

Results: During the routine follow-up of his underlying disease, 12 years after the original surgery, a pulmonary nodule was found

The particularity of the sample is based on the macroscopic observation of the tumor piece where the development of the neoplastic mass on the mechanical suture of the previous surgery performed 12 years ago is shown

 

Conclusion: We describe a rare cancer development mechanism in clinical practice, from chronic postoperative inflammation due to mechanical suturing.

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Author Biographies

Pedro Uad, Hospital Italiano Buenos Aires

Estudios universitarios: 2017 - Instituto Universitario Hospital Italiano de Buenos
Aires. Ayudante de Cátedra de Anatomía (2013-2017). Pasante Area Investigacion
Medicina Interna HIBA (2016-2018). Residencia de Cirugía General: Hospital Italiano
de Buenos Aires (en curso).

Micaela Raices, Servicio de Cirugía General. Hospital Italiano de Buenos Aires. Jefe de Residentes.

Estudios universitarios: 2014 - Universidad Favaloro. 2018 - Residencia de Cirugía
General: Hospital Italiano de Buenos Aires. 2019 - 2020 - Jefatura de Residencia de
Cirugía General Hospital Italiano de Buenos Aires.

María E Cano, Hospital Italiano de Buenos Aires

Residente. Servicio de Cirugía General. Hospital Italiano de Buenos Aires.

Agustin Dietrich, Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Médico Adscripto

Estudios universitarios: 2009 - Facultad de Medicina en la Universidad de Buenos
Aires. Residencia de Cirugía General: 2013 - Hospital Italiano de Buenos Aires.
Jefatura de Residencia de Cirugía General Hospital Italiano de Buenos Aires
(2013-2014). Becario de perfeccionamiento en Cirugía Torácica y Trasplante
Pulmonar: 2016 - Hospital Italiano de Buenos Aires.

David, Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Jefe de Sector.

David Eduardo Smith, MAAC. Servicio de Cirugía General. Sector de Cirugía
Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Jefe de Sector.
Jefe de Equipo de Trasplante de Pulmón Adultos.
david.smith@hospitalitaliano.org.ar.
ORCID: orcid.org/0000-0003-0894-6530

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Published

2020-08-21

How to Cite

1.
Uad P, Raices M, Cano ME, Dietrich A, David. Lung adenocarcinoma on scar of previous segmentectomy for benign nodule. Case presentation. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2020 Aug. 21 [cited 2024 Jul. 27];77(3):203-7. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/29294

Issue

Section

Case Report