Korean J Med > Volume 78(2); 2010 > Article
The Korean Journal of Medicine 2010;78(2):235-240.
A case of early-detected synchronous lung cancer by narrow-band imaging treated with photodynamic therapy
Tai Sun Park, Seung-Il Park, Sang We Kim, Jae Hyung Roh, Jin Wook Park, Jung Min Jo, Chang-Min Choi
협대역영상으로 조기발견하여 광역동치료를 한 동시다발성 폐암 1예
박태선, 박승일, 김상위, 노재형, 박진욱, 조정민, 최창민
Abstract
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. (Korean J Med 78:235-240, 2010)
Key Words: Bronchoscopy; Photodynamic therapy; Lung cancer


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