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タイトルヨミ
ハイガン ノ ケイカチュウ ニ ショウジタ キドウ, ショクドウ キョウサク ニタイスル フクスウカイ ノ ステント リュウチジュツ ガ QOL カイゼン ニ キヨシタ 1レイ
タイトル別表記
A Case With Lung Cancer Successfully Treated by Multiple Stent Placement for the Airway and Esophageal Stenoses
ファイル
言語
日本語
属性
症例報告
著者
大江 美紀
神田 響
出口 菜穂子
近藤 圭一
内容記述(抄録等)
A 81-year-old man came to our hospital with abnormal shadow on chest X-ray and was diagnosed as non-small cell lung cancer. The cancer became small,so we observed for a while, but the cancer enlarged and dysphagia was observed. Chest CT revealed an enlargement of subcarinal lymph node metastasis and stenosis of esophagus and left main bronchus. Therefore, we placed stents on esophagus and left main bronchus and he left hospital. After that, he underwent outpatient chemotherapy, but he had severe dyspnea and immediately hospitalized. Chest CT revealed stenoses of bilateral main bronchus due to enlargement of subcarinal lymph node. The stenosis of left main bronchus was severe, so we placed a stent on left main bronchus again and at the same time, he underwent radiation therapy against the enlargement of lymph node. After he finished radiation therapy, the size of subcarinal lymph node became small, so we placed a stent on right main bronchus. After that, his symptom of dyspnea was improved markedly.
For stenoses of esophagus and tracheobronchus, double and multiple stentings considering patient’s disease state and complications of stentings are effective treatment to improve quality of life.
掲載誌名
島根大学医学部紀要
33
開始ページ
53
終了ページ
58
ISSN
1880084X
発行日
2010-12-01
NCID
AA12049432
出版者
島根大学医学部
出版者別表記
Shimane University Faculty of Medicine
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部