ハッショウ ヨソク ガ コンナン デアッタ ハイガン ジュツゴ カンシツセイ ハイエン キュウセイ ゾウアク ノ 2レイ
Acute exacerbation of interstitial pneumonia after pulmonary resection for lung cancer. Analysis of two cases.
中川, 靖士 徳島県立中央病院外科
先山, 正二 徳島大学大学院胸部・内分泌・腫瘍外科
Acute exacerbation of interstitial pneumonia （IP） is one of the most severe and fatal postoperative complications in lung cancer patients underlying IP. We treated two patients suffered from acute exacerbation of IP after pulmonary resection for lung cancer. We analyzed their clinical findings. Thoracoscopic lobectomy with mediastinal lymph node dissection was performed in these cases. The patients were diagnosed with acute exacerbation ４ or ５ days after operation and treated with steroids. Both patients had not been diagnosed as IPs before surgery, however, IPs were diagnosed by retrospective analysis of pathological examination for the removal lungs. Chest CT before surgery showed an interstitial shadow in the lung field faintly in these cases. It should be considered that patients who show a faint interstitial shadow in chest CT could potentially cause an acute exacerbation of IP after lung cancer operation.
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