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Multimodal treatment for multistation mediastinal lymph node adenocarcinoma: a case report
Tomoyuki Nakano1, Shunsuke Endo, Tetsuya Endo
1Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan. tcvnknt@jichi.ac.jp
Abstract:
We report on a 68-year-old male with a multistation mediastinal lymph node adenocarcinoma, who had no primary lesions occurring within 48 months. After diagnosis by lymph node biopsy via right-sided thoracoscopy, the bilateral mediastinal lymphadenopathy responded to platinum-based chemotherapy. At 30 months after completion of chemotherapy, left mediastinal lymphadenopathy recurred. Left anterior mediastinal dissection via left-sided thoracoscopy was successful. After surgery, the patient did well with no primary lesions for more than a year. The etiology of mediastinal lymph node carcinoma of unknown origin is discussed.