@article{oai:kanazawa-u.repo.nii.ac.jp:00044562, author = {Murakami, Shinya and Shimizu, Junzo and Oda, Makoto and Hayashi, Yoshinobu and Yazaki, Ushio and Go, Tetsuhiko and Matsumoto, Isao and Hara, T. and Tawaraya, Kanae and Watanabe, Yoh and 村上, 眞也 and 清水, 淳三 and 小田, 誠 and 林, 義信 and 矢崎, 潮 and 呉, 哲彦 and 松本, 勲 and 原, 拓央 and 俵矢, 香苗 and 渡辺, 洋宇}, issue = {1}, journal = {胸部外科 = 日本心臓血管外科学会雑誌, The Japanese journal of thoracic surgery}, month = {Jan}, note = {Thirty patients have undergone multiple resections for non-small cell lung cancer from 1973 to July 1994, constituting 2.6% of 1,153 who had undergone pulmonary resection for such tumor. In the 22 patients for recurrent cancer, 15 resections of the ipsilateral lung and 9 of the contralateral lung were performed with no operative death. The survival rate following second resection in 22 patients was 33.8% at 3 years and 13.5% at 5 years. Survival rate was poor in patients with DNA aneuploid primary tumor and there was not a patients of 5 years survival. Three out of the 5 patients which had a diploid pattern in the primary tumor, showed an aneuploid pattern in the recurrent tumor. Long survival patients were founded only in the patients which had a diploid primary tumor. In the 8 patients for second primary lung cancer, 4 resections of the ipsilateral lung and 4 of the contralateral lung were performed, including two bronchoplastic surgery for early hilar squamous cell carcinoma. The survival rate following second resection in 8 patients was 64.2% at 5 years with good result. We concluded that an aggressive surgical approach is safe and warranted in patients with second primary lung cancer., 金沢大学医薬保健研究域医学系}, pages = {38--42}, title = {原発性肺癌胸腔内再発および重複肺癌に対する再切除の意義}, volume = {48}, year = {1995} }