Document Detail

Sequential mediastinal lymphadenectomy of an unknown primary tumor.
MedLine Citation:
PMID:  23336878     Owner:  NLM     Status:  In-Data-Review    
An 83-year-old woman was admitted for lower mediastinal lymphadenopathy, detected by computed tomography; preoperative examinations did not detect a primary lesion. Fifteen months after tumor resection, a new mediastinal lymphadenopathy located 4 cm from the site of the first lesion was resected. Histopathologic and immunohistochemical examinations of both tumors revealed metastatic, poorly differentiated, adenocarcinomas with identical findings; however, the primary site could not be identified based on these examinations. The patient has remained disease-free for 23 months since the last surgery. Thus, sequential resections of metachronous mediastinal lymph node metastases from an unknown primary cancer yielded beneficial disease control.
Hiroaki Harada; Yoshinori Yamashita; Kazuya Kuraoka; Kiyomi Taniyama
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  95     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  687-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Respiratory Surgery, National Health Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan; Institute for Clinical Research, National Health Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan. Electronic address:
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