Axillary Dissection with Lobectomy and Chest Wall Resection for Locally Advanced Primary Lung Cancer.

ABSTRACT:

Introduction

Lung cancer with chest wall (CW) involvement can develop metastases directly to the ipsilateral axillary lymph node (ALN) via lymphatic flow of the CW. Such metastatic ALNs should be evaluated as locoregional metastases, and multimodal treatment of patients with stage III lung cancer including surgery may be utilized.

Case presentation

A 59-year-old man presented with a chief complaint of back pain and was diagnosed as having primary lung adenocarcinoma of the right upper lobe with CW involvement and an ipsilateral ALN metastasis (cT3N0M1b: IVA, 8th edition of the tumor, node, metastasis). We found no mediastinal lymph node (MLN) metastases, so we believed that the metastatic ALN involved metastasis directly from the primary lesion via lymphatic flow of the CW.

SUBMITTER: Shimada Y 

PROVIDER: S-EPMC12401585 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature