External-beam radiotherapy for massive hemoptysis complicating mediastinal fibrosis.
Fibrosing mediastinitis with bronchial artery hypervascularity is a rare cause of massive hemoptysis. Conventional therapies for massive hemoptysis include pulmonary or bronchial artery embolization, endobronchial tamponade, or lung resection. A patient with fibrosing mediastinitis presented with refractory massive hemoptysis associated with bronchial hypervascularity and was treated with external-beam radiotherapy (XRT). The application of XRT for massive hemoptysis in malignant and nonmalignant disease of the thorax is discussed.
Crossno
Peter F
PF
Division of Allergy, Department of Medicine, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232-2650, USA. peter.crossno@vanderbilt.edu
Loyd
James E
JE
Milstone
Aaron P
AP
D006469:Hemoptysis / Q000209:etiology / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications / Q000532:radiotherapy*; D008875:Middle Aged; D011658:Pulmonary Fibrosis / Q000150:complications / Q000532:radiotherapy*