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Pulmonary resection and systemic lymph node dissection in a patient with breast cancer who had a 33-year disease-free
Degang Yin1, Guofei Zhang2, Lufeng Zhao3
1Department of Thoracic Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, # 88 Jiefang Road, Hangzhou, 310009, China. ydg409@163.com.
Objective:
Breast cancer metastasis to the lung is common. The resection of lung metastases in patients with breast cancer has been controversial. Here, we present a very rare case of pulmonary and mediastinal lymph node metastases in a patient with breast cancer who had a disease-free interval (DFI) of more than 33 years.
Methods:
An involved lobectomy and systematic mediastinal lymph node dissection were performed.
Results:
The histological examination confirmed pulmonary metastasis from the breast cancer associated with mediastinal lymph nodes metastasis.
Conclusions:
To our knowledge, this is the first case reported of a patient with a 33-year DFI after a radical mastectomy for breast cancer who presented with pulmonary metastasis with mediastinal lymph node involvement. This case indicates that a long-term follow-up of breast cancer patients is necessary. Systematic mediastinal lymph node dissection should be considered as a prognostic study during pulmonary metastasectomy for breast cancer.
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