Division of Pulmonary, Critical Care, Sleep, and Occupational Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Division of Pulmonary Sciences and Critical Care, University of Colorado School of Medicine, Aurora, CO, USA
Eur Respir Rev. 2020 Nov 5;29(158). doi: 10.1183/16000617.0035-2020. Print 2020 Dec 31.
Patients with unresectable lung cancer range from those with early-stage or pre-invasive disease with comorbidities that preclude surgery to those with advanced stage disease in whom surgery is contraindicated. In such cases, a multidisciplinary approach to treatment is warranted, and may involve medical specialties including medical oncology, radiation oncology and interventional pulmonology. In this article we review bronchoscopic approaches to surgically unresectable lung cancer, including photodynamic therapy, brachytherapy, endoscopic ablation techniques and airway stenting. Current and past literature is reviewed to provide an overview of the topic, including a highlight of potential emerging approaches.
无法手术切除的肺癌患者包括伴有合并症而不能手术的早期或局部侵袭性疾病患者,以及因手术禁忌而患有晚期疾病的患者。在这种情况下,需要采用多学科方法进行治疗,可能涉及包括肿瘤内科、放射肿瘤科和介入肺科在内的医学专业。本文回顾了用于手术不可切除肺癌的支气管镜方法,包括光动力疗法、近距离放射疗法、内镜消融技术和气道支架。回顾了当前和过去的文献,以提供该主题的概述,包括潜在新兴方法的要点。