Intraoperative photodynamic therapy for tracheal mass in non-small cell lung cancer:A case report  

作　　者：Hee Suk Jung Hyun Jung Kim Kwan Wook Kim 

机构地区：[1]Department of Thoracic and Cardiovascular Surgery,CHA Bundang Medical Center,Seongnam-si 13496,South Korea

出　　处：《World Journal of Clinical Cases》2023年第16期3915-3920,共6页世界临床病例杂志

摘　　要：BACKGROUND Tracheal neoplasms represent less than 0.1%of all malignancies and have no established treatment guidelines.Surgical resection with reconstruction is the primary treatment.This study demonstrates successful treatment of concurrent lung and tracheal tumors using surgical excision and intraoperative photodynamic therapy(PDT),highlighting the effectiveness and safety of this approach.CASE SUMMARY A 74-year-old male with a history of smoking and chronic obstructive pulmonary disease was diagnosed with tracheal squamous cell carcinoma and right lower lobe adenocarcinoma.A multidisciplinary team created a treatment plan involving tumor resection and PDT.The tracheal tumor was removed through a tracheal incision and this was followed by intraluminal PDT.The trachea was repaired and a right lower lobectomy was performed.The patient received a second PDT treatment postoperatively and was discharged 10 d after the tracheal surgery,without complications.He then underwent platinum-based chemotherapy for lymphovascular invasion of lung cancer.Three-month postoperative bronchoscopy revealed normal tracheal mucosa with a scar at the resection site and no evidence of tumor recurrence in the trachea or lung.CONCLUSION Our case of concurrent tracheal and lung cancers was successfully treated with surgical excision and intraoperative PDT which proved safe and effective in this patient.

关 键 词：Tracheal neoplasm Non-small cell lung carcinoma Pulmonary surgical procedure PHOTOCHEMOTHERAPY Prognosis Case report 

分 类 号：R734.2[医药卫生—肿瘤]