Surgical Case Reports (May 2020)

Resected case of stage IV pleomorphic carcinoma of the lung with long-term survival

  • Haruki Choshi,
  • Mototsugu Watanabe,
  • Hiroyuki Ujike,
  • Yumiko Sato,
  • Toshiaki Morito,
  • Ryujiro Sugimoto,
  • Kazuhiko Kataoka

DOI
https://doi.org/10.1186/s40792-020-00868-z
Journal volume & issue
Vol. 6, no. 1
pp. 1 – 5

Abstract

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Abstract Background No established treatments for pulmonary pleomorphic carcinoma exist because of its rarity, and the prognosis is poorer than that of other non-small cell lung cancers. Case report We present a case of stage IV pleomorphic carcinoma; the patient was a 66-year-old male. He was referred to our hospital because of a right adrenal hemorrhage and a lung tumor. A systemic examination revealed that the lung tumor was a primary lung cancer and that the adrenal hemorrhage was due to a metastatic cancer. We performed an adrenalectomy and resection of the lung tumor and obtained a diagnosis of pleomorphic carcinoma with adrenal metastasis. The patient has remained recurrence-free for 6 years since the surgery. Conclusions We report a patient with stage IV pleomorphic carcinoma of the lung and an oligometastasis in whom a complete resection enabled a good outcome. Additional reports are needed to clarify definite prognostic factors and the optimal treatment for pleomorphic carcinoma.

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