Multiple primary lung cancers, the hybrid approach in management: a case report.

Dana Kanafani, Rayan Hamdar, Bassel Hafez, Pierre Sfeir

Abstract readCase Reports

In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dana KanafaniDivision of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 202, Lebanon. dana_kanafani@hotmail.com.

Rayan HamdarDivision of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 202, Lebanon.

Bassel HafezDivision of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 202, Lebanon.

Pierre SfeirDivision of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107 202, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With improved screening and imaging, multiple primary lung cancers (MPLCs) are being recognized more frequently. Differentiating MPLCs from metastases is crucial for accurate staging and management. Surgery remains the cornerstone of treatment, yet many patients present with comorbidities that preclude bilateral resections. We describe two patients with synchronous MPLCs successfully treated using a hybrid approach-lobectomy for one lesion and stereotactic body radiotherapy (SBRT) for the contralateral lesion. We review the diagnostic reasoning, staging, and decision-making process underlying this individualized strategy.

Indexed as

Lung NeoplasmsNeoplasms, Multiple PrimaryPneumonectomyRadiosurgeryAgedHumansMaleMiddle AgedHybridLobectomyLung cancerMultiple primary lung cancersStereotactic body radiation therapySurgery

Identifiers

PMID41975531

DOI10.1186/s13019-025-03784-1

PMCPMC13072556

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.