CBNPC stades IIIB

Stage IIIB bronchial carcinoma frequently involves the central airways. Interventional bronchoscopy is recommended before any radiotherapy or chemotherapy in patients with symptoms or obstruction of more than 50% of the airway. This bronchoscopy should be undertaken with a rigid instrument with mechanical resection of polypoid tumours and insertion of stents for extrinsic compression. The combination of interventional bronchoscopy and radio/chemotherapy may be synergistic. Endobronchial administration of chemotherapy may be complementary to systemic treatment.