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KMID : 0882420100780020235
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Korean Journal of Medicine
2010 Volume.78 No. 2 p.235 ~ p.240
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A case of early-detected synchronous lung cancer by narrow-band imaging treated with photodynamic therapy
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Park Tai-Sun
Park Seung-Il
Kim Sang-We
Roh Jae-Hyung
Park Jin-Wook
Jo Jung-Min
Choi Chang-Min
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Abstract
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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.
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KEYWORD
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Bronchoscopy, Photodynamic therapy, Lung cancer
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