Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4213045 | Respiratory Medicine CME | 2009 | 6 Pages |
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.