title: [Rapid multidisciplinary therapy for an advanced lung cancer patient with severe tracheal stenosis resulting in long-term survival].
abstract: A 61-year-old female was admitted to our hospital due to dyspnea and facial edema. A chest CT scan showed stenosis of the trachea and superior vena cava due to a tumor around the trachea. She underwent partial resection of the tracheal tumor via a rigid bronchoscope introduced into the trachea, and placement of a Dumon Y-stent. Undifferentiated non-small cell lung cancer was diagnosed. After airway management, she underwent cisplatin-based chemoradiotherapy and total 56 Gy stereotactic radiotherapy for the tumor. The tumor size was reduced by 40% immediately after chemoradiotherapy. Six months after the tracheal stent insertion, bone metastases were pointed out, and we changed the chemotherapy regimen to gefitinib. She has been in good condition without tumor growth for more than six years after tracheal stent insertion.
authors.affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University.
authors.forename: Mari
authors.initials: M
authors.lastname: Shimada
authors.forename: Isao
authors.initials: I
authors.lastname: Matsumoto
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Nobuyoshi
authors.initials: N
authors.lastname: Tanaka
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Waseda
authors.forename: Masaya
authors.initials: M
authors.lastname: Takizawa
authors.forename: Makoto
authors.initials: M
authors.lastname: Oda
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kasahara
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use*; D001706:Biopsy; D001859:Bone Neoplasms / Q000188:drug therapy / Q000556:secondary; D002289:Carcinoma, Non-Small-Cell Lung / Q000150:complications / Q000473:pathology / Q000628:therapy*; D059248:Chemoradiotherapy; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D014135:Tracheal Stenosis / Q000209:etiology* / Q000601:surgery
chemical_list: D000970:Antineoplastic Agents