A case of early-detected synchronous lung cancer by narrow-band imaging treated with photodynamic therapy.
- Author:
Tai Sun PARK
1
;
Seung Il PARK
;
Sang We KIM
;
Jae Hyung ROH
;
Jin Wook PARK
;
Jung Min JO
;
Chang Min CHOI
Author Information
1. Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ccm@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Bronchoscopy;
Photodynamic therapy;
Lung cancer
- MeSH:
Bronchoscopy;
Carcinoma in Situ;
Carcinoma, Non-Small-Cell Lung;
Comorbidity;
Esophageal Neoplasms;
Humans;
Lung;
Lung Neoplasms;
Photochemotherapy
- From:Korean Journal of Medicine
2010;78(2):235-240
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Surgical resection is the treatement of choice for early stage lung cancer. However, it is hazardous for patients with poor pulmonary function, multifocal endobronchial lesions, a previous history of major lung resection, or an important comorbidity. Under such circumstances, bronchoscopic photodynamic therapy could be considered as a treatment option for patients whose tumors are centrally located and bronchoscopically visible and accessible. We present a patient with radiologically occult synchronous non-small cell lung cancer accompanied by esophageal cancer. The esophageal cancer and a tumor in the right lower lobe were surgically removed, and a carcinoma in situ in the left upper lobe was treated with bronchoscopic photodynamic therapy. Nine months later, another tumor was detected in the right middle lobe by narrow-band imaging. The tumor was treated by photodynamic therapy again. In this case, narrow-band imaging played a crucial role in the diagnosis, and photodynamic therapy ensured complete application of the treatment.
