A 54-year-old-woman presented with recent weight loss and hemoptysis. A chest CT scan revealed a left lung central tumor. Bronchoscopy confirmed an infiltrating lesion at the level of interlobar carina, and biopsy revealed primary squamous cell carcinoma. Clinical staging with TEP scan was cT3N2M0 (T3 because complete lung atelectasis and N2 because pulmonary window adenopathy). To complete the staging, the authors performed a mediastinoscopy. It was negative at station 4 right and left, and station 7. The patient was offered left pneumonectomy by single-port approach.
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