Lymph Node Metastasis after Spontaneous Regression of Non-Small Cell Lung Cancer
10.5090/kjtcs.2019.52.2.119
- Author:
Jae Hwa JEONG
1
;
Pil Jo CHOI
;
Jung Hoon YI
;
Sang Seok JEONG
;
Ki Nam LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea. pjchoi@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Lung neoplasms;
Spontaneous neoplasm regression;
Lymphatic metastasis;
Surgery
- MeSH:
Biopsy, Needle;
Carcinoma, Non-Small-Cell Lung;
Carcinoma, Squamous Cell;
Drug Therapy;
Humans;
Lung Neoplasms;
Lymph Nodes;
Lymphatic Metastasis;
Middle Aged;
Needles;
Neoplasm Metastasis;
Neoplasm Regression, Spontaneous
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(2):119-123
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous regression of lung cancer is a very rare and poorly understood phenomenon. A 64-year-old man presented to Dong-A University Hospital with a shrunken nodule in the right lower lobe. Although the nodule showed a high likelihood of malignancy on needle aspiration biopsy, the patient refused surgery. The nodule spontaneously regressed completely in the next 17 months. However, the subcarinal lymph node was found to be enlarged 16 months after complete regression was observed. We pathologically confirmed metastasis of squamous cell carcinoma and performed neoadjuvant chemotherapy, surgery, and adjuvant chemoradiation. Regardless of tumor size reduction, it is preferable to perform surgery aggressively in cases of operable lung cancer.
