Bandyopadhyay Debabrata, Induru Raghava R
Department of Internal Medicine, Cleveland Clinic, OH, USA.
Am J Hosp Palliat Care. 2011 Sep;28(6):445-8. doi: 10.1177/1049909110393722. Epub 2010 Dec 26.
Lung cancer is the leading cause of cancer mortality and morbidity. Patients with advanced lung cancer have distressful symptoms like dyspnea. It has severe negative impact on the quality of life. Airway stenting has become widespread for palliation of airway stenosis in patients with metastatic airways disease. Although it provides improvement in symptoms, actual survival benefit is limited with severe potential complications. Appropriate patient selection in terms of site of tumor, type of stent placement is needed to achieve maximum benefit for patients. Here we will discuss 2 patients with advanced lung cancer who received bronchial stent for intractable dyspnea. Although there was dramatic improvement in symptoms and quality of life, both died shortly. Was there any benefit of stenting remained unanswered.
肺癌是癌症死亡和发病的主要原因。晚期肺癌患者会出现诸如呼吸困难等令人痛苦的症状。这对生活质量有严重的负面影响。气道支架置入术已广泛用于缓解转移性气道疾病患者的气道狭窄。尽管它能改善症状，但实际生存获益有限，且存在严重的潜在并发症。需要根据肿瘤部位、支架置入类型进行适当的患者选择，以使患者获得最大益处。在此，我们将讨论2例晚期肺癌患者，他们因顽固性呼吸困难接受了支气管支架置入术。尽管症状和生活质量有显著改善，但两人均不久后死亡。支架置入是否有任何益处仍未得到解答。
