[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: Mari Shimada, Isao Matsumoto, Yusuke Tanaka, Nobuyoshi Tanaka, Ryuichi Waseda, Masaya Takizawa, Makoto Oda, Go Watanabe, Kazuo Kasahara
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 39 Issue 5 Pg. 797-9 (May 2012) ISSN: 0385-0684 [Print] Japan
• PMID: 22584334 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Antineoplastic Agents

Topics

• Antineoplastic Agents (therapeutic use)
• Biopsy
• Bone Neoplasms (drug therapy, secondary)
• Carcinoma, Non-Small-Cell Lung (complications, pathology, therapy)
• Chemoradiotherapy
• Female
• Humans
• Lung Neoplasms (complications, pathology, therapy)
• Middle Aged
• Stents
• Time Factors
• Tracheal Stenosis (etiology, surgery)