Rigid Bronchoscopy for Malignant Central Airway Obstruction from Small Cell Lung Cancer Complicated by SVC Syndrome
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- Jung Bockhyun
- Department of Internal Medicine, Pulmonary and Critical Care Medicine, University of Ulsan, Gangneung Asan Hospital, Gangneung, Korea
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- Murgu Septimiu
- Department of Medicine, Pulmonary and Critical Care Medicine, University of California School of Medicine, Irvine, California, USA
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- Colt Henri
- Department of Medicine, Pulmonary and Critical Care Medicine, University of California School of Medicine, Irvine, California, USA
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Central airway obstruction (CAO) and superior vena cava (SVC) syndrome are potentially life-threatening complications in locally advanced lung cancer. Therapeutic rigid bronchoscopy has become an critical component in the treatment of the lung cancer patients with CAO who are not surgical candidates. However, the technique may pose significant risks in patients with coexisting SVC syndrome, especially, and even more so perhaps in patients over the age of eighty. In this case report, we address the potential risks and known benefits of therapeutic bronchoscopic intervention in an 85-year-old man with small cell lung cancer who presented with acute dyspnea secondary to advanced SVC syndrome and CAO involving the lower trachea and right main bronchus. Emergent therapeutic rigid bronchoscopy resulted in a marked improvement, in dyspnea, atelectasis, and postobstructive pneumonia, allowing rapid administration of systemic chemotherapy.
収録刊行物
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- Annals of Thoracic and Cardiovascular Surgery
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Annals of Thoracic and Cardiovascular Surgery 17 (1), 53-57, 2011
Annals of Thoracic and Cardiovascular Surgery 編集委員会
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詳細情報 詳細情報について
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- CRID
- 1390001204728368768
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- NII論文ID
- 10029686360
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- NII書誌ID
- AA11035352
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- ISSN
- 21861005
- 13411098
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可