同一切開創により乳癌・肺癌同時手術を施行した1例

One-stage Operation through the Same Skin Incision for Synchronous Double Primary Breast and Lung Cancer；Report of a Case

悪性腫瘍治療方針決定のために，全身検索は重要である．その際他臓器に悪性腫瘍を見出すことがあり，両者が転移であるか，原発であるかによって治療法は異なってくる．われわれは，右乳房の10 mm径の乳癌と右中葉の26 mm径の肺癌に対して同一切開創による一期的手術を施行したので報告する．

A 75-year-old woman noticed a small mass in the right side breast and consulted our hospital. The results of the detailed examination indicated the synchronous double primary right breast cancer and the same side lung cancer （rS5）. One-stage operation from the same skin incision was scheduled. Volume rendering （VR） of computed tomography （CT）-scan was very useful in deciding the position and the length of the skin incision. The breast tumor resection and the right middle lobe resection were successfully performed through 6.5 cm skin incision.