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DOI:10.2214/AJR.08.2037
AJR 2009; 193:W38-W42
© American Roentgen Ray Society


Clinical Observations

Palliative Treatment of Inoperable Malignant Tracheobronchial Obstruction: Temporary Stenting Combined With Radiation Therapy and/or Chemotherapy

Jin Hyoung Kim1, Ji Hoon Shin1, Ho-Young Song1, Joon-Young Ohm1, Jae Moung Lee1, Dae Ho Lee2 and Sang-We Kim2

1 Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea.
2 Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

OBJECTIVE. The purpose of our study was to evaluate the clinical results of temporary stenting followed by radiation and/or chemotherapy in patients with inoperable malignant tracheobronchial strictures.

CONCLUSION. Temporary stenting combined with radiation therapy and/or chemotherapy may be clinically effective in the palliative treatment of patients with malignant tracheobronchial strictures. Stent placement may serve as an effective bridge to radiation and/or chemotherapy, allowing the latter to consolidate durable relief of obstructing symptoms by reducing tumor burden. Furthermore, our treatment strategy may increase patients' quality of life by reducing stent-related complications.

Keywords: chemotherapy • malignant tracheobronchial stricture • radiation therapy • stent placement


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