Bergner A, Huber R M
Pneumologie, Klinikum der Universität München - Innenstadt, München, Deutschland.
Internist (Berl). 2011 Feb;52(2):155-7. doi: 10.1007/s00108-010-2699-x.
Stenosis of central airways or hemoptysis are classical indications for interventional bronchoscopy in lung cancer. In the case of endoluminal tumor growth cryo-, laser- or brachytherapy are widely used. In the case of airway stenosis due to compression by extraluminal tumor masses balloon-dilatation and/or stenting and - with delayed effect - brachytherapy are first-choice therapies. Carcinoma in situ and early stage tumors can be treated curatively with brachytherapy or photodynamic therapy. Recently introduced bronchoscopic techniques like electro-magnetic navigation may result in new curative options for peripheral lung tumors.
中央气道狭窄或咯血是肺癌介入性支气管镜检查的经典指征。对于腔内肿瘤生长的情况,冷冻治疗、激光治疗或近距离放射治疗被广泛应用。对于因管腔外肿瘤肿块压迫导致的气道狭窄,球囊扩张和/或支架置入以及具有延迟效应的近距离放射治疗是首选治疗方法。原位癌和早期肿瘤可以通过近距离放射治疗或光动力疗法进行根治性治疗。最近引入的支气管镜技术,如电磁导航,可能为周围型肺肿瘤带来新的根治性选择。