Gross examination showed a small irregular ...

52-year old male smoker presented right spontaneous pneumothorax when chest tube was inserted. Chest radiographs and CT scan showed a right apical bullae emphysema. We planned thoracoscopic resection. There were adhesions between emphysematous bulla and the superior vena cava, so lasix heart rate that we completed resection through right minithoracotomy. Pathological study showed a large emphysematous bulla with 0. 5 cm poorly differentiated NSCLC focal lining the enlarged airspace and land cover of Surgery (

Fig. 1

). The patient was re-examination of CT and positron emission tomography, we found residual lesions. We confirmed the diagnosis of poorly differentiated NSCLC after viewing slides of pathology and the patient received the right upper lobectomy. Gross study found a small bag of irregular, 12 mm, adjacent to the previous line of resection (

Fig. 2

). Microscopy showed large cell carcinoma. We found no metastatic lymph nodes. Patients postoperative period proceeded without complications. .