High-dose-rate endobronchial brachytherapy in endobronchial metastatic malignant chondroid syringoma.
A 65-year-old man with malignant chondroid syringoma (MCS) was found to have pulmonary metastases in the form of multiple pulmonary nodules 4 years after wide excision and adjuvant radiotherapy of a primary abdominal wall tumor. Atelectasis of the lingula due to obstructive endobronchial metastasis, resistant to combination chemotherapy, led us to perform high-dose rate (HDR) endobronchial brachytherapy for the first time in this rare tumor with a favorable response. This case emphasizes the role of HDR brachytherapy as a palliative procedure in endobronchial tumors not responding to other treatment modalities, even those considered to be radioresistant.
Solomonov
A
A
Division of Pulmonary Medicine, Department of Oncology, Rambam Medical Center, 31096 Haifa, Israel.
Rosenblatt
E
E
Ben-Izhak
O
O
Goralnik
L
L
Yigla
M
M
D008949:Adenoma, Pleomorphic / Q000473:pathology* / Q000532:radiotherapy*; D000368:Aged; D001918:Brachytherapy / Q000379:methods; D001980:Bronchi / Q000473:pathology; D001984:Bronchial Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D010166:Palliative Care; D012468:Salivary Gland Neoplasms / Q000473:pathology*