Stent placement is justifiable in end-stage patients with malignant airway tumours.
Extraluminal tumour compression can be treated with the use of stenting. In 8 patients with end-stage malignant tumours of the tracheobronchial tree, tumor compression of the major airways became apparent after Nd-YAG laser debulking. Dumon-type stents (Endoxane), were inserted under general anaesthesia. There were no complications during and after stent insertion. All stents were well tolerated, with significant symptomatic relief in all patients. This symptomatic relief was considered worthwhile, despite the limited duration of palliation and the pre-terminal stage of the patients. Tumour progression after stent insertion was usually beyond any treatment possibility, except additional laser coagulation. The median survival was 2 months and the longest palliation was 11 months.
Sutedja
G
G
Department of Pulmonary Medicine, Free University Hospital, Amsterdam, The Netherlands.
Schramel
F
F
van Kralingen
K
K
Postmus
P E
PE
D000328:Adult; D000368:Aged; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D001984:Bronchial Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D015607:Stents; D014134:Tracheal Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology / Q000601:surgery