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Use of emergency rigid bronchoscopy to reduce tumour mass prior to surgical resection
Author(s) -
TAKAGI Keigo,
TAKAHASHI Shoji,
HATA Yoshinobu,
TAMAKI Kazuyoshi,
KATO Nobuhide,
SASAMOTO Shuichi
Publication year - 2007
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/j.1440-1843.2007.01129.x
Subject(s) - medicine , debulking , surgery , stage (stratigraphy) , pathological , adenocarcinoma , bronchoscopy , lung , carcinoma , cancer , paleontology , ovarian cancer , biology
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.