ISSN: 2161-119X

Otolaryngology: Open Access
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  • Case Report   
  • Otolaryngol (Sunnyvale) 2015, Vol 5(3): 192
  • DOI: 10.4172/2161-119X.1000192

The Sequential Interventional Treatment of a Case of Right-Sided Lung Cancer with Atelectasis

Wu Gang, Li Zong-Ming, Han Xin-Wei*, Wang Zhong-Gao, Jiao De-Chao, Ren Ke-Wei and Zhu Ming
Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, , Zhengzhou 450052, China
*Corresponding Author : Han Xin-Wei, Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China, Tel: +8613803842129, Fax: +86037166862171, Email: hanxinwei2006@163.com

Received Date: Jul 30, 2014 / Accepted Date: Feb 13, 2015 / Published Date: Feb 18, 2015

Abstract

Lung cancer combined with severe airway stenosis is a medical emergency, and unlike mild-to-moderate stenosis, is difficult to treat with percutaneous or bronchoscopic biopsy and stenting. We report the successful treatment of a case of lung cancer with severe airway stenosis that was treated sequentially with initial airway angiography, forceps biopsy using interventional radiology, stent placement, regional perfusion chemotherapy through a bronchial artery and radiotherapy. A 66 year-old male patient presented with a 1-month history of a productive cough, with dyspnea in the preceding 6 days. A chest spiral CT scan showed obstruction of the right hilum and complete right lung atelectasis with plugging of the right main bronchus. The patient was initially managed with oxygen before undergoing airway angiography and biopsy. A Y-shaped stent was placed through the affected bronchus, which alleviated the atelectasis. The patient further responded to locally-delivered chemotherapy and regional radiotherapy. After two years of follow-up, the patient was still alive, and no longer breathing difficultied, chest CT review showed that the tumor was no significant progress. Sequential therapy with a range of interventions can lead to an improved quality of life and a prolonged survival duration in a patient with an acute presentation of severe airway stenosis.

Keywords: Airway stenosis, Forceps biopsy, Stent, Regional chemoradiotherapy

Citation: Gang W, Ming LZ, Wei HX, Gao WZ, Chao JD, et al. (2015) The Sequential Interventional Treatment of a Case of Right-Sided Lung Cancer with Atelectasis. Otolaryngology 5:192. Doi: 10.4172/2161-119X.1000192

Copyright: © 2015 Gang W, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

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