Endoscopic treatment of lung cancer invading the airway before induction chemotherapy and surgical resection

Abstract

Preliminary endoscopic palliation of lung cancer invading the airway is feasible, improves evaluation and staging, helps to reduce the incidence of complications during induction chemotherapy without increasing surgical morbidity and mortality.

Prognostic factors for bronchoscopic intervention in advanced lung or esophageal cancer patients with malignant airway obstruction

“…As suggested by previous reports,[78] our study documented that patients who are treatment naïve upon admission had longer survival than those with any cancer treatment before bronchoscopic intervention. The patients with pre-bronchoscopic procedure treatment could have obtained a poorer performance status after cancer treatment and could have already had a refractory or relapse status, resulting in a poorer additional treatment response.…”

“…[16] Additionally, bronchoscopic intervention offers the opportunity for additional therapeutic modalities in inoperable patients, leading to longer survival. [7] In selected patients with locally-advanced lung cancer, preliminary bronchoscopic palliation could improve tumor staging, make surgical resection feasible, and improve the surgical results. [8]…”

Endobronchial intratumoral chemotherapy (EITC) followed by surgery in early non-small cell lung cancer with polypoid growth causing erroneous impression of advanced disease

“…It has also been reported that preliminary bronchoscopic relief of central airway obstruction by laser photoresection [10][11][12][13][14][15] and laser photodynamic therapy [28] can improve staging with a resulting increase in the number of operable patients and with improved surgical results.…”

“…However, in one group of patients with malignant central airway obstruction, it has been shown that initial endoscopic relief by laser resection [10][11][12][13][14][15] and laser photodynamic therapy [28] helps to improve quality of life and enables better preoperative preparation with selection of most appropriate surgical techniques and reduced incidence of surgical complications and mortality.…”

Desenvolvimento de uma órtese de Dumon modificada para aplicações traqueais: um estudo experimental em cães

“…(5) It has also become clear that there is no one ideal stent type for all tracheal applications. (6,7) Rather, the best option is largely determined by the anatomy of the lesion and of the airway. (8) Concerning materials, self-expanding metal stents and silicone stents seem to be the most widely employed.…”