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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

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Multiple synchronous primary tumours in a single lobe.

Amir H Sepehripour¹, Abdul Nasir, Rajesh Shah

¹Department of Cardiothoracic Surgery, Wythenshawe Hospital, Southmoor Road, Manchester M23 9LT, UK. amir.sepehripour@gmail.com

Interactive Cardiovascular and Thoracic Surgery

|December 14, 2011

Summary

This summary is machine-generated.

This case study details a 70-year-old man with three distinct primary lung cancers in one lobe. Surgical intervention and updated staging criteria allowed for potential curative treatment.

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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

Area of Science:

Thoracic Surgery
Oncology
Pulmonology

Background:

Synchronous primary lung tumors are rare, presenting diagnostic and therapeutic challenges.
Accurate tumor staging is critical for guiding treatment decisions in lung cancer management.

Observation:

A 70-year-old male presented with cough, dyspnea, and abdominal pain.
Radiology identified three distinct hypermetabolic lesions in the right upper lobe.
Histopathology revealed undifferentiated squamous cell carcinoma, adenocarcinoma, and atypical adenomatous hyperplasia.

Findings:

The patient underwent successful thoracoscopic right upper lobectomy for three synchronous primary lung tumors.
Histological confirmation of multiple distinct tumor types within the same lobe.
Reclassification of tumor-node-metastasis staging criteria impacted the patient's tumor classification.

Implications:

Accurate staging is crucial for determining surgical candidacy in complex lung cancer cases.
This case highlights the importance of thorough pathological evaluation for synchronous primary lung malignancies.
Updated staging guidelines may facilitate surgical management for patients previously considered inoperable.