Miniinvasive Method Treatment For Complicated Forms Of Lung Cancer
Severgin Vladislav, Tronina Olena.
Odessa National Medical University, Odessa, Ukraine.
OBJECTIVE: Lung cancer is one of the leadingand challenged diseasein oncology, due progression of the disease and its complications such as lung bleedings and lung atelectasis caused by tumor obstruction of bronchi. The number of cases with these complications are not decreasing due to lack of complex of methods to manage them.
METHODS: We presentcomplex of palliative methods for the treatment and management of generalized forms lung cancer and its complications. These methods includesroentgen endovascular embolization of bronchial arteries, followed by radiofrequency ablation (RFA) and re-canalization of the bronchial stenosis by the tumor.
RESULTS: These methods were applied in 68 patients with a age group from 52 to 78 years. The patients were diagnose with lung cancer, III-IV stages. In this group of patients, radical operative treatment was not possible due to tumor progression accompanied with lung bleeding and other low functional implications. All had lung bleeding with blood loss of 200-400 ml. per day, which is a contraindication for palliative chemotherapy. Along with that, they had lung atelectasis due to tumor obstruction of main bronchus or lobar bronchi. Hemostatic effect seen in 65 patients immediately, others had to undergo a repeated embolization of the intercostal arteries, additionally vascularizing the tumor. Re-canalization of the bronchial stenosis was achieved in all these patients, which improved the quality of life. In the future, the patients were recommendedto undergo chemotherapy or radiotherapy depending in the morphological character of the tumor. In the following 10 months, neither the signs of lung bleeding nor the bronchial atelectasis was seen.
CONCLUSIONS: As far, with the positive experience in this group of patients, we can prove that, these complex of methods, are effective in the treatment of complicated forms of lung cancer. It not only eliminates the complications but also improves the life quality.
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