Post-Lobectomy Patient Considering Scuba Diving Activities

Case at a Glance

A 41-year-old female patient with history of right lower lobectomy for neuroendocrine tumor seeks medical clearance for recreational scuba diving activities.

Patient's Story

The patient underwent right lower lobectomy in February 2025 for treatment of neuroendocrine cancer. She reports being cancer-free with regular monitoring. She has returned to full activity level, including running 12-15 miles weekly at elevations of 7000-8000 feet. Recent chest X-rays show excellent healing with minimal visible surgical changes. She expresses interest in learning scuba diving but has concerns about respiratory safety given her surgical history.

Initial Assessment

Patient presents as a healthy, active individual with excellent post-surgical recovery. She demonstrates superior cardiovascular fitness compared to baseline pre-surgery activity levels. Pulmonary function appears excellent based on her ability to exercise at altitude without symptoms. Her pulmonologist lacks specialized dive medicine expertise, creating a consultation gap.

The Diagnostic Journey

Patient seeks specialized dive medicine evaluation to assess safety of underwater activities following lung resection. Current imaging shows excellent post-surgical adaptation. No respiratory symptoms reported during high-intensity activities or altitude exposure. Patient demonstrates good understanding of potential risks and conservative approach to new activities.

Final Diagnosis

Post right lower lobectomy status with excellent functional recovery. Patient candidate for dive medicine evaluation for recreational scuba diving clearance.

Treatment Plan

Recommend consultation with dive medicine specialist for comprehensive pulmonary function testing and diving medical examination. Consider formal pulmonary function tests including diffusion capacity. Gradual introduction to pool-based training with medical supervision initially recommended.

Outcome and Follow-up

Patient advised to seek specialized dive medicine consultation before proceeding with scuba training. Community feedback suggests optimism regarding diving capability given excellent physical condition, though professional medical clearance remains essential for safety.