کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4213045 | 1609481 | 2009 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Management of right upper airway patency by a silicon stent in a case of endobronchial metastasis Management of right upper airway patency by a silicon stent in a case of endobronchial metastasis](/preview/png/4213045.png)
SummaryBackgroundEndobronchial metastasis from an extrapulmonary malignancy is relatively rare. There have been no previous reports of airway stenting to salvage right upper lobe airway patency.Case reportThis report describes a 76-year-old male who suffered from a huge endobronchial tumor with a history of renal cell carcinoma (RCC). The endobronchial tumor was thought to have invaded the right main bronchus from a metastasis of the lung parenchyma and the tumor was estimated to have considerable vascularity by contrast enhanced computed tomography. The patient underwent external irradiation, endobronchial tumor reduction with a flexible bronchoscope, transcatheter bronchial arterial embolization and then a successful endobronchial tumor resection by rigid bronchoscopy. The endobronchial tumor resection was mainly achieved using an electrosurgical snare. Furthermore, a Y-shaped Dumon stent was implanted at the bifurcation of the right upper lobe bronchus and bronchus intermedius for the management of complete right airway patency.ConclusionsThe tumor was successfully resected using a multidisciplinary approach and a novel method of silicone stent placement using the usual rigid bronchoscopic technique was employed to maintain complete right airway patency.
Journal: Respiratory Medicine CME - Volume 2, Issue 4, 2009, Pages 191–196