Emergency rigid bronchoscopy and immunotherapy: successful combination in dramatic respiratory debut of pulmonary adenocarcinoma

Tumori. 2021 Dec;107(6):NP91-NP93. doi: 10.1177/03008916211022834. Epub 2021 Jun 17.

Abstract

Malignant central airway obstruction is a life-threatening condition that often causes respiratory failure. In many cases, treatment of tumor in rigid bronchoscopy must be performed urgently, soothing respiratory symptoms and improving patient quality of life, in many cases reducing time to and allowing application of oncologic therapies. Immuno-oncologic therapies target the immune system selectively and are therefore much less toxic than standard chemotherapies, sometimes leading to outstanding results in advanced cancers for which there were no effective treatments until a few years ago. This report shows the effect of the joint application of rigid bronchoscopy and targeted immunotherapy in an emergency scenario, resulting in an unexpected extraordinary therapeutic success.

Keywords: Rigid bronchoscopy; central airway obstruction; immunotherapy; lung cancer.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma of Lung / complications
  • Adenocarcinoma of Lung / diagnosis*
  • Adenocarcinoma of Lung / drug therapy*
  • Adenocarcinoma of Lung / etiology
  • Airway Obstruction / diagnosis
  • Airway Obstruction / etiology
  • Antineoplastic Agents, Immunological / administration & dosage
  • Antineoplastic Agents, Immunological / adverse effects
  • Antineoplastic Agents, Immunological / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biopsy
  • Bronchoscopy* / methods
  • Disease Management
  • Emergency Medical Services*
  • Female
  • Humans
  • Immunotherapy* / methods
  • Middle Aged
  • Molecular Targeted Therapy
  • Symptom Assessment
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antineoplastic Agents, Immunological