Interventional Bronchoscopy for the Treatment of Pulmonary Sarcoma
10.3779/j.issn.1009-3419.2016.09.07
- VernacularTitle:支气管镜介入治疗肺肉瘤
- Author:
WANG HONGWU
1
;
ZHANG NAN
;
LI DONGMEI
;
ZOU HANG
;
ZHANG JIELI
;
ZHOU YUNZHI
;
BAI XIUYUN
Author Information
1. 煤炭总医院呼吸内科
- Keywords:
Pulmonary sarcoma;
Computed tomography;
Interventional therapy
- From:
Chinese Journal of Lung Cancer
2016;19(9):595-599
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective Pulmonary sarcoma is a rare malignant tumor in sotf tissues. Resection is the preferred option to treat this tumor. hTe aim of this study is to explore the effect of interventional bronchoscopies in the treatment of pulmonary sarcoma if the patient is inoperable.MethodsSixteen cases with pulmonary sarcoma were retrospec-tively reviewed in our hospital from November 2008 to July 2014. hTe mean age was (53.1±5.4) years old. Rigid bronchoscopy was applied for the ifrst procedure with general anesthesia, and electronic bronchoscopy was used for the second procedure or slight patients.Results Sixteen cases, which include 10 sarcomatoid carcinoma, 2 ifbrosarcoma, 2 sarcoma, 1 ifbromucoid sarcoma, and 1 spindle cell synovial sarcoma, were collected in this study. Eleven cases (68.8%) were peripheral and mainly located in the right upper lobe and letf lower lobe. Five cases (31.2%) were central. Of these cases, 82% (9/11) were mixed and primary tumors in pulmonary tumor. Meanwhile, 56% (9/16) were intraluminal and 69% (11/16) were metastatic in central airway. All of the four cases with whole atelectasis were completely relieved through postbronchoscopic interventions. hTree of the seven cases with segment atelectasis were completely reopened; two of them were partially relieved; and the remaining two had no response. hTe obstructive degree,Karnofsky performance status (KPS), and shortness of breathless score improved signiifcantly atfer the treatment.Conclusion Interventional bronchoscopy could rapidly and effciently remove endobronchial tumor, relieve airway obstruction, and improve clinical symptoms.
