Surgical treatment for twenties patients with pulmonary nontuberculous mycobacteriosis resisting chemotherapy

[Subjects and Methods] We report five cases of surgical treatment for pulmonary nontuberculous mycobac-teriosis (NTM) resisting chemotherapy in twenties. Of the five, one was male and four were female. They had cavitary or nodular lesion in their lung. After chemotherapy, partial resection or lobectomy was performed. [Result] Though postoperative chemotherapy had continued for only 6 months or 1 year, there was no relapse/recurrence at more than 86 months in average after surgery. [Consideration] In younger patients, NTM lesions in the lung are sometimes more localized than senior patients, therefore they can be removed as a smaller portion by the operation, and we can sometimes keep more pulmonary function of the patient. [Conclusion] Surgical treatment for twenties patients with pulmonary nontuberculous mycobacteriosis resisting chemotherapy should be carried out aggressively at an early stage to resect a smaller portion of the lung and also decrease relapse/recurrence after surgery.