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Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report

Primary squamous cell carcinoma (SqCC) often occurs in the trachea and bronchi. Recently, intraluminal bronchoscopic treatment (IBT) has emerged as an option for curative treatment, not just surgery, in patients with central early‐stage SqCC (CES‐SqCC). However, patients that can be cured by IBT are...

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Autores principales: Aoki, Hikaru, Uchimura, Keigo, Imabayashi, Tatsuya, Matsumoto, Yuji, Higashiyama, Masahiro, Watanabe, Shun‐Ichi, Tsuchida, Takaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8410548/
https://www.ncbi.nlm.nih.gov/pubmed/34319654
http://dx.doi.org/10.1111/1759-7714.14090
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author Aoki, Hikaru
Uchimura, Keigo
Imabayashi, Tatsuya
Matsumoto, Yuji
Higashiyama, Masahiro
Watanabe, Shun‐Ichi
Tsuchida, Takaaki
author_facet Aoki, Hikaru
Uchimura, Keigo
Imabayashi, Tatsuya
Matsumoto, Yuji
Higashiyama, Masahiro
Watanabe, Shun‐Ichi
Tsuchida, Takaaki
author_sort Aoki, Hikaru
collection PubMed
description Primary squamous cell carcinoma (SqCC) often occurs in the trachea and bronchi. Recently, intraluminal bronchoscopic treatment (IBT) has emerged as an option for curative treatment, not just surgery, in patients with central early‐stage SqCC (CES‐SqCC). However, patients that can be cured by IBT are limited. We report a rare case of CES‐SqCC that was surgically confirmed to be cured by IBT alone. A 72‐year‐old woman had a nodular bronchial tumor at the bifurcation of right upper and intermediate bronchi. For histological diagnosis, the tumor was resected and incinerated using high‐frequency snare (HFS). Obtained specimens were diagnosed as SqCC; wedge resection of the bifurcation was performed to remove the residual lesion. However, no malignant findings were found in the excised specimens. Some patients with CES‐SqCC may be cured by aggressive diagnostic bronchoscopy. The risk of postoperative complications cannot be ignored because the surgery requires bronchoplasty in patients with CES‐SqCC. For patients with CES‐SqCC, surgical resection may be avoided by detailed assessment of residual lesion with radial probe endobronchial ultrasonography (RP‐EBUS).
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spelling pubmed-84105482021-09-03 Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report Aoki, Hikaru Uchimura, Keigo Imabayashi, Tatsuya Matsumoto, Yuji Higashiyama, Masahiro Watanabe, Shun‐Ichi Tsuchida, Takaaki Thorac Cancer Case Reports Primary squamous cell carcinoma (SqCC) often occurs in the trachea and bronchi. Recently, intraluminal bronchoscopic treatment (IBT) has emerged as an option for curative treatment, not just surgery, in patients with central early‐stage SqCC (CES‐SqCC). However, patients that can be cured by IBT are limited. We report a rare case of CES‐SqCC that was surgically confirmed to be cured by IBT alone. A 72‐year‐old woman had a nodular bronchial tumor at the bifurcation of right upper and intermediate bronchi. For histological diagnosis, the tumor was resected and incinerated using high‐frequency snare (HFS). Obtained specimens were diagnosed as SqCC; wedge resection of the bifurcation was performed to remove the residual lesion. However, no malignant findings were found in the excised specimens. Some patients with CES‐SqCC may be cured by aggressive diagnostic bronchoscopy. The risk of postoperative complications cannot be ignored because the surgery requires bronchoplasty in patients with CES‐SqCC. For patients with CES‐SqCC, surgical resection may be avoided by detailed assessment of residual lesion with radial probe endobronchial ultrasonography (RP‐EBUS). John Wiley & Sons Australia, Ltd 2021-07-28 2021-09 /pmc/articles/PMC8410548/ /pubmed/34319654 http://dx.doi.org/10.1111/1759-7714.14090 Text en © 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Aoki, Hikaru
Uchimura, Keigo
Imabayashi, Tatsuya
Matsumoto, Yuji
Higashiyama, Masahiro
Watanabe, Shun‐Ichi
Tsuchida, Takaaki
Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report
title Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report
title_full Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report
title_fullStr Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report
title_full_unstemmed Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report
title_short Nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: A case report
title_sort nodular‐type central squamous cell lung carcinoma cured by intraluminal bronchoscopic treatment: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8410548/
https://www.ncbi.nlm.nih.gov/pubmed/34319654
http://dx.doi.org/10.1111/1759-7714.14090
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