Ayub Irfan Ismail, Kannan Kalaichelvi, Dhenesh R, Thiagarajan Anand
Department of Pulmonary Medicine, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Chennai, Tamil Nadu, India.
Department of Medical Oncology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.
Lung India. 2017 May-Jun;34(3):278-282. doi: 10.4103/0970-2113.205325.
A 67-year-old man with poorly controlled chronic obstructive pulmonary disease presented with progressive dysphagia and was diagnosed with locally advanced carcinoma of the esophagus. Positron emission tomography-computed tomography staging showed mediastinal lymphadenopathy including a large lymph node in the tracheoesophageal groove with moderate tracheal compression. He was advised chemoradiotherapy but was reluctant to proceed with the same. He developed stridor 2 months later and repeat imaging showed increased size of the tracheoesophageal lymph node with critical airway narrowing. Since he was not fit for general anesthesia, he was subjected to tracheal stenting with self-expandable metal stent under flexible bronchoscopy. Following stent placement, there was relief of dyspnea, and stridor and the patient was discharged.
一名67岁男性，患有控制不佳的慢性阻塞性肺疾病，出现进行性吞咽困难，被诊断为局部晚期食管癌。正电子发射断层扫描-计算机断层扫描分期显示纵隔淋巴结肿大，包括气管食管沟处一个大淋巴结，伴有中度气管受压。他被建议进行放化疗，但不愿接受。2个月后他出现喘鸣，复查影像显示气管食管淋巴结增大，气道严重狭窄。由于他不适合全身麻醉，在可弯曲支气管镜下接受了自膨式金属支架气管支架置入术。支架置入后，呼吸困难和喘鸣缓解，患者出院。
