Eur J Cardiothorac Surg 2004;25:651
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
Recurrent laryngeal nerve paralysis resulting from a metastatic lymphadenopathy caused by a right-sided lung cancer
Murat Karaa*,
Erkan Dikmena,
Osman Kursat Arikanb,
Simay Altan Karac
a Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey
b Department of Otorhinolaryngology, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey
c Department of Radiology, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey
Received 12 November 2003;
received in revised form 16 December 2003;
accepted 18 December 2003.
* Corresponding author. Guvenlik Caddesi, Esenlik Sokak 7/10, TR-06540 Asagiayranci, Ankara, Turkey. Tel.: +90-318-225-4511; fax: +90-318-225-2819
e-mail: muratkara66{at}hotmail.com
Key Words: Recurrent laryngeal nerve • Paralysis • Lung cancer • Metastasis
A 52-year-old man showed right vocal cord paralysis (Fig. 1)
. Computerized tomography (CT) revealed a right upper lobe mass and a right superior mediastinal lymphadenopathy in close association with the brachiocephalic trunk and right subclavian vein (Fig. 2A and B) . Histologic examination of the videothoracoscopic mediastinal lymph node biopsy proved a metastatic adenocarcinoma. A chylothorax has developed in the post-operative period, which was managed with conservative treatment. The patient was given a chemotherapy regimen of carboplatin and gemcitabine.
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Fig. 2. (A) Right upper lobe mass proved to be an adenocarcinoma. (B) Metastatic lymphadenopathy (big arrow) adjacent to the right brachiocephalic trunk (small arrow) and subclavian vein (arrowhead).
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