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Eur J Cardiothorac Surg 2004;26:652-654
© 2004 Elsevier Science NL

Case report

Successful outcome after resection of lung, liver and diaphragm for locally advanced lung cancer

^a Thoracic Unit, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK
^b Hepatobiliary Unit, Saint James' University Hospital, Leeds, UK

Received 10 February 2004; accepted 3 May 2004.

^* Corresponding author. Tel.: +44-113-294-8901; fax: +44-113-392-8436
e-mail: drjonsmith{at}hotmail.com

A 63-year-old man presented with a 2 month history of intermittent right subcostal and shoulder tip pain. Preoperative imaging confirmed a locally advanced right lower lobe lung tumour involving the diaphragm and liver. Bronchoscopic biopsy confirmed squamous cell carcinoma and mediastinoscopy was negative. The patient underwent a right bilobectomy with resection of the right hemi-diaphragm and a right hemi-hepatectomy. His postoperative recovery was satisfactory and he remains well 18 months after the surgery. We believe that in selected cases, patients with locally advanced lung tumours invading the liver may have a survival advantage following resection.

Key Words: Locally advanced lung cancer