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Background <p>Surgical resection remains a cornerstone of curative treatment in lung cancer, but delayed complications are under-recognised.</p> Case presentation <p>We describe a 67-year-old East Asian man who developed an unusual sequence of symptoms months after right middle and lower lobectomy: a posture-dependent triad of palpitations, throat tightness, and nasal congestion; paradoxical weight loss despite hyperphagia; and later neuropsychiatric disturbance associated with chronic respiratory insufficiency. Investigations excluded tumour recurrence and metabolic disorders.</p> Conclusions <p>These observations emphasise the spectrum of long-term sequelae following major pulmonary resection and the importance of vigilant multidisciplinary follow-up.</p>

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Late-onset sequelae after right middle and lower lobectomy: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月21日

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  • Shasha Li,
  • Wenqi Chen,
  • Jiandong Zha,
  • Zhiyuan Xu,
  • Victor Ho-Fun Lee,
  • Anne W. M. Lee

摘要

Background

Surgical resection remains a cornerstone of curative treatment in lung cancer, but delayed complications are under-recognised.

Case presentation

We describe a 67-year-old East Asian man who developed an unusual sequence of symptoms months after right middle and lower lobectomy: a posture-dependent triad of palpitations, throat tightness, and nasal congestion; paradoxical weight loss despite hyperphagia; and later neuropsychiatric disturbance associated with chronic respiratory insufficiency. Investigations excluded tumour recurrence and metabolic disorders.

Conclusions

These observations emphasise the spectrum of long-term sequelae following major pulmonary resection and the importance of vigilant multidisciplinary follow-up.