Use of emergency rigid bronchoscopy to reduce tumour mass prior to surgical resection.
Two patients with lung adenocarcinoma developed acute respiratory failure as a result of unilateral lung collapse. They were successfully treated by tumour de-bulking using a rigid brochoscope and subsequent radical sleeve lobectomy. Case 1 was a 46-year-old man whose carcinoma was pathological stage IIIb (P-T4N2M0), and he remains tumour-free 39 months after the surgery. Case 2 was a 79-year-old man whose carcinoma was pathological stage IIb (P-T3N0M0). Following treatment, he was able to resume his daily activities, however, his tumour recurred and he died 5 months after the surgery. Debulking of tumours with a rigid bronchoscope was useful for improving patients' quality of life and for the subsequent multidisciplinary treatment of lung carcinoma.
Takagi
Keigo
K
Division of Chest Surgery, Department of Surgery, Toho University Omori Medical Center, Tokyo, Japan. keigo@med.toho-u.ac.jp
Takahashi
Shoji
S
Hata
Yoshinobu
Y
Tamaki
Kazuyoshi
K
Kato
Nobuhide
N
Sasamoto
Shuichi
S
D000230:Adenocarcinoma / Q000188:drug therapy / Q000601:surgery*; D000368:Aged; D020680:Bronchoscopes; D001999:Bronchoscopy; D003131:Combined Modality Therapy; D004632:Emergency Medical Services; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D001261:Pulmonary Atelectasis / Q000150:complications; D011788:Quality of Life; D012131:Respiratory Insufficiency / Q000209:etiology