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Journal of Basic and Clinical Health Sciences 2019 , Vol 3 , Issue 3
Long-Term Survival With Salvage Surgery in Persistent Lung Cancer
İlhami Er1,Meltem Kirli1,Oğuz Çetinayak1,Barbaros Aydın1,Nesrin Aktürk1,Volkan Karacam2,İlhan Öztop3,Ayşe Nur Demiral1,Rıza Çetingöz1
1Dokuz Eylul University, Radiation Oncology, Narlıdere/İzmir, Turkey
2Dokuz Eylul University, Thoracic Surgery, Narlıdere/İzmir, Turkey
3Dokuz Eylul University, Medical Oncology, Narlıdere/İzmir, Turkey
DOI : 10.30621/jbachs.2019.632 Objective: Our study presents a case with locally-advanced non-small cell lung cancer (NSCLC) having salvage pneumonectomy due to persistent disease.

Case Description: A 46-year old man with stage IIIB (cT4N3M0) NSCLC received 39Gy (13x3Gy) thoracic radiotherapy after neoadjuvant chemotherapy. Partial response was obtained after radiotherapy. Chemotherapy was continued after radiotherapy. At 28th month of followup without treatment, isolated local progression was detected. The patient underwent right pneumonectomy and mediastinal lymph node dissection revealing ypT2aN0 adenocarcinoma. After adjuvant chemotherapy, he"s disease-free at 88 months after salvage surgery.

Conclusion: In selected patients, salvage surgery seems to provide increased survival causing acceptable morbidity and mortality. Keywords : Lung cancer, radiotherapy, salvage surgery