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Updated: May 1, 2026

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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
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Simultaneous video-assisted thoracoscopic surgery sleeve lobectomy and thymectomy
Dong Xie1, Huikang Xie2, Yuming Zhu1
1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Interactive Cardiovascular and Thoracic Surgery
|April 22, 2014
Summary
This rare case highlights synchronous thymic carcinoid tumors and lung squamous cell carcinoma. Simultaneous surgery using video-assisted thoracoscopic surgery (VATS) offered a minimally invasive treatment option for this dual malignancy.
Area of Science:
- Thoracic Surgery
- Oncology
- Pulmonology
Background:
- Synchronous occurrence of thymic carcinoid tumors and pulmonary squamous cell carcinoma is exceptionally rare.
- Early diagnosis and effective treatment strategies are crucial for managing these complex thoracic malignancies.
Observation:
- A 67-year-old male presented with symptoms including cough and bloody sputum.
- Imaging revealed an anterior mediastinal mass alongside a right hilar nodule, suggestive of concurrent thoracic neoplasms.
Findings:
- The patient underwent successful simultaneous video-assisted thoracoscopic surgery (VATS) for a right upper sleeve lobectomy and thymectomy.
- Pathological diagnosis confirmed the presence of both thymic carcinoid tumor and pulmonary squamous cell carcinoma.
Implications:
- This case demonstrates the feasibility and efficacy of VATS for treating synchronous thoracic malignancies.
- Adjuvant radiochemotherapy was administered, underscoring a multimodal approach for optimal patient outcomes in rare cancer presentations.

