Endotracheal Tumor Recurrence after Left Lower Sleeve Lobectomy for Stage 1 Lung Cancer

A 74 year-old male, who had undergone sleeve lobectomy of the left lower lobe for stage 1 squamous cell carcinoma, was readmitted to our hospital 2 years and 10 months later because of endotracheal tumor with dyspnea. At bronchoscopy a mass approximately 5 cm in length in the right tracheal wall, was seen to extend to within less than 1 cm of the carina. It was suggested that the tumor mass was due to multiple primary cancer in this patient. 60CO radiation followed by local injection of 10 mg of BLM were carried out after construction of a tracheal window and intubation during the early period of the treatment. The mass showed remarkable regression after these treatments. We reported this case because of interest in postoperative cancer recurrence and devices for treatment other than conventional surgical therapy.