The role of interventional bronchoscopy in the management of malignant central airway obstruction

Respir Med Case Rep. 2024 Jan 14:47:101984. doi: 10.1016/j.rmcr.2024.101984. eCollection 2024.

Abstract

Nearly a third of patients with primary lung cancer present with malignant central airway obstruction (MCAO), and some of them appear to have advanced disease. In these patients, accurate staging is crucial. Although the literature extensively outlines the role of interventional bronchoscopy in palliation, its contribution to refining the staging of patients with MCAO is noteworthy. Here, we present a case of a patient initially diagnosed with stage IV cancer due to a left mainstem tumor causing complete lung collapse. He was referred to our institution for palliative treatment of his cough. Following interventional bronchoscopy, the patient's staging was revised to T1a, and subsequently, he underwent lobectomy without complications.

Keywords: Interventional bronchoscopy; Lung cancer staging; Malignant central airway obstruction; Non-small cell lung cancer.

Publication types

  • Case Reports