A case of simultaneous lung cancer and abdominal aortic aneurysm treated with a two-stage strategy.
The optimal treatment strategy for simultaneous lung cancer and abdominal aortic aneurysm remains controversial. This report presents the case of a 76-year-old man with lung cancer in addition to an abdominal aortic aneurysm. A chest computed tomography (CT) examination showed a mass lesion measuring 38 mm in diameter in S6 of the left lower lobe; the mass exhibited features suggestive of lung cancer. Meanwhile, an abdominal CT examination showed an abdominal aortic aneurysm measuring 52mm in diameter. Considering the progression of the lung tumor, we performed a left lower lobectomy and lymph node dissection, and the lung tumor was histologically diagnosed by as an adenocarcinoma, pT3(pm1)N1M0. On the 58th day after the first surgery, we performed endovascular stent grafting, and on the 31st day after the endovascular surgery, adjuvant chemotherapy with carboplatin plus gemcitabine was initiated. During the chemotherapy, there were no remarkable adverse events, and the treatment was completed as planned. (Accepted on July 29, 2010)