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Updated: Jul 6, 2026
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Surgical experience of 6 multiple primary lung cancers]
Hiroiku Hara1, C Ikeda, M Shimada
1Department of Thoracic and Cardiovascular Surgery, Yokohama Sakae Kyosai Hospital, Yokohama, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|March 8, 2008
Summary
This study presents a rare case of multiple primary lung cancers presenting as ground glass opacities (GGOs). Surgical resection of all six GGO lesions was successfully performed, demonstrating a viable treatment strategy.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Oncology
Background:
- Multiple primary lung cancers, particularly those presenting as ground glass opacities (GGOs), require tailored management strategies.
- Early detection and surgical intervention are crucial for favorable outcomes in early-stage lung cancer.
Observation:
- A 60-year-old male presented with multiple GGO lesions on chest computed tomography (CT).
- The patient underwent staged surgical resections, including segmentectomy and wedge resections, for five initial lesions.
- A sixth lesion, diagnosed as invasive papillary adenocarcinoma, was resected after a 3-year follow-up.
Findings:
- All six primary lung cancer lesions, classified pathologically as Noguchi types A and B, were surgically removed.
- The patient experienced no recurrence one year after the final surgery, indicating successful management.
Implications:
- This case highlights the feasibility of aggressive surgical management for multiple primary GGO lung cancers.
- Multifocal ground glass opacity lung cancers can be treated effectively with a stepwise surgical approach.
- Complete surgical resection of multiple primary lung cancers can lead to long-term disease-free survival.