Open AccessTracheal stenting under flexible bronchoscopy for large tracheoesophageal malignant lymphadenopathy
Author(s) -
Irfan Ismail Ayub,
Krishnarathinam Kannan,
R Dhenesh,
Anand Thiagarajan
Publication year - 2017
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.205325
Subject(s) - medicine , stridor , mediastinal lymphadenopathy , bronchoscopy , dysphagia , stent , radiology , tracheoesophageal fistula , flexible bronchoscopy , esophagus , surgery , chemoradiotherapy , mediastinal lymph node , airway , computed tomography , radiation therapy , metastasis , cancer
A 67-year-old man with poorly controlled chronic obstructive pulmonary disease presented with progressive dysphagia and was diagnosed with locally advanced carcinoma of the esophagus. Positron emission tomography-computed tomography staging showed mediastinal lymphadenopathy including a large lymph node in the tracheoesophageal groove with moderate tracheal compression. He was advised chemoradiotherapy but was reluctant to proceed with the same. He developed stridor 2 months later and repeat imaging showed increased size of the tracheoesophageal lymph node with critical airway narrowing. Since he was not fit for general anesthesia, he was subjected to tracheal stenting with self-expandable metal stent under flexible bronchoscopy. Following stent placement, there was relief of dyspnea, and stridor and the patient was discharged.