Jacobs Journal of Clinical Case Reports

Pulmonary Resection for Primary Lung Cancer in a 97 year-old

*Henrietta Wilson
Department Of Case Reports, United Kingdom

*Corresponding Author:
Henrietta Wilson
Department Of Case Reports, United Kingdom
Email:hmwilson@doctors.org.uk

Published on: 2017-10-15

Abstract

Current trends in increased life-expectancy and lung cancer incidence have led to a growing number of elderly patients with nonsmall cell lung cancer. Advances in surgical techniques and perioperative care have led to improved outcomes in octogenarians undergo pulmonary resection. There have been few reports, however, of surgical management in patients over the age of ninety years. Here we report the case of a fit 97-year-old gentleman who underwent thoracotomy and lingular-sparing upper lobectomy for the management of a T2a N0 squamous cell carcinoma. To the best of our knowledge, this is the oldest individual reported to have undergone anatomical resection for primary lung cancer. The patient was discharged on day 14 postoperatively with no significant post-operative morbidity. Although further evidence is required to establish the role of surgery for lung cancer in nonagenarians, pulmonary resection has been shown to be feasible in selected patients and should not be excluded on the basis of age alone.

Keywords

Introduction

Life-expectancy in developed countries is continuing to increase. The Office for National Statistics reported an average life expectancy of 18.5 years for men aged 65 and 21.1 years for women aged 65 in England and Wales in 2012 [1]. Given the aging population, we are likely to see an increase in the incidence of non-small cell lung cancer (NSCLC) in patients over the age of 90. Between 2009 and 2011 a total of 5133 new cases of lung cancer were reported in people over the age of 85 years in the UK [1]. In view of this, clinicians are likely to be facing more difficult decisions as to the management of lung cancer in elderly patients. Surgical resection remains the treatment of choice for early lung cancer in fit candidates. The surgical community has recently come under some criticism as to whether less aggressive approaches are advocated in elderly patient groups. We would disagree with this assumption. Advances in pre and post-operative care, along with improved surgical techniques such as VATS pulmonary resection and sub-lobar anatomic resection has allowed an increase in surgical management of NSCLC in an aging population.