Secondary pulmonary malignancies requiring interventional bronchoscopic procedures
Yıl: 2021 Cilt: 29 Sayı: 3 Sayfa Aralığı: 360 - 369 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2021.19927 İndeks Tarihi: 28-05-2022
Secondary pulmonary malignancies requiring interventional bronchoscopic procedures
Öz: Background: In this study, we aimed to share our single-
center experience and to investigate the effect of interventional
bronchoscopic procedures on secondary pulmonary malignancies
in terms of complications, success, and survival rates.
Methods: A total of 83 patients (42 males, 41 females; mean age:
57.8±15.2 years; range, 18 to 94 years) with secondary pulmonary
malignancies who underwent interventional bronchoscopic
procedures between January 2009 and December 2019 were
retrospectively reviewed. Data including demographic and clinical
characteristics of the patients, complications, and success and
survival rates were recorded.
Results: The most common secondary pulmonary malignancies
were kidney and thyroid tumors with the complaints of cough,
shortness of breath, and hemoptysis. The mean duration before
the diagnosis was 34.7±52.8 (range, 0.1 to 219.3) months, and the
mean survival after the diagnosis were 10±13.1 (range, 0.2 to 44.4)
months. A total of 92% of the patients had an airway obstruction
of >50% and the interventional bronchoscopic procedures such as
argon plasma coagulation, laser, cryo, and mechanical resection
were successful in achieving airway patency. Laser application
was found to significantly improve survival (p=0.015). Acute
complication rate was 8.4% and mortality rate was 0%.
Conclusion: In patients with tracheobronchial lesions due to
secondary pulmonary malignancies, interventional bronchoscopic
procedures, regardless of the stage of the disease, provide rapid
palliation in life-threatening symptoms such as dyspnea and
hemoptysis due to airway obstruction, prolonging patient’s survival
and gain time for additional treatments to take effect for primary
disease
Anahtar Kelime: Girişimsel bronkoskopik işlem gerektiren sekonder pulmoner maligniteler
Öz: Amaç: Bu çalışmada tek merkezli deneyimimiz sunuldu ve
girişimsel bronkoskopik işlemlerin komplikasyonlar, başarı ve
sağkalım oranları açısından sekonder pulmoner maligniteler
üzerindeki etkisi araştırıldı.
Çalışma planı: Ocak 2009 - Aralık 2019 tarihleri
arasında girişimsel bronkoskopik işlem yapılan sekonder
pulmoner maligniteli toplam 83 hasta (42 erkek, 41 kadın;
ort. yaş: 57.8±15.2 yıl; dağılım, 18-94 yıl) retrospektif olarak
incelendi. Hastaların demografik ve klinik özellikleri,
komplikasyonlar ve başarı ve sağkalım oranları dahil olmak
üzere veriler kaydedildi.
Bulgular: En sık görülen sekonder pulmoner maligniteler
öksürük, nefes darlığı ve hemoptizi şikayetleri ile böbrek ve
tiroid tümörleri idi. Tanıya kadar geçen ortalama süre 34.7±52.8
(dağılım, 0.1-219.3) ay ve tanı sonrası ortalama sağkalım
10±13.1 (dağılım, 0.2-44.4) ay idi. Hastaların toplam %92’sinin
hava yolu obstrüksiyonu %50’nin üzerindeydi ve argon plazma
koagülasyon, lazer, kriyo ve mekanik rezeksiyon gibi girişimsel
bronkoskopik işlemler hava yolu açıklığını sağlamada başarılı
idi. Lazer uygulaması sağkalımı anlamlı düzeyde iyileştirdi
(p=0.015). Akut komplikasyon oranı %8.4 ve mortalite oranı
%0 idi.
Sonuç: Sekonder pulmoner malignitelere bağlı trakeobronşiyal
lezyonu olan hastalarda, hastalığın evresinden bağımsız olarak,
girişimsel bronkoskopik işlemler, hava yolu obstrüksiyonuna bağlı
dispne ve hemoptizi gibi hayatı tehdit eden semptomlarda hızlı
bir iyileşme sağlayarak, hastaların sağkalımını uzatır ve primer
hastalıkları için alabilecekleri ek tedaviler için onlara zaman
kazandırır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | UGUR CHOUSEIN E, turan d, ozgul m, ÇETINKAYA E (2021). Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. , 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| Chicago | UGUR CHOUSEIN EFSUN GONCA,turan demet,ozgul mehmet akif,ÇETINKAYA ERDOGAN Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. (2021): 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| MLA | UGUR CHOUSEIN EFSUN GONCA,turan demet,ozgul mehmet akif,ÇETINKAYA ERDOGAN Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. , 2021, ss.360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| AMA | UGUR CHOUSEIN E,turan d,ozgul m,ÇETINKAYA E Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. . 2021; 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| Vancouver | UGUR CHOUSEIN E,turan d,ozgul m,ÇETINKAYA E Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. . 2021; 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| IEEE | UGUR CHOUSEIN E,turan d,ozgul m,ÇETINKAYA E "Secondary pulmonary malignancies requiring interventional bronchoscopic procedures." , ss.360 - 369, 2021. 10.5606/tgkdc.dergisi.2021.19927 |
| ISNAD | UGUR CHOUSEIN, EFSUN GONCA vd. "Secondary pulmonary malignancies requiring interventional bronchoscopic procedures". (2021), 360-369. https://doi.org/10.5606/tgkdc.dergisi.2021.19927 |
| APA | UGUR CHOUSEIN E, turan d, ozgul m, ÇETINKAYA E (2021). Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 29(3), 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| Chicago | UGUR CHOUSEIN EFSUN GONCA,turan demet,ozgul mehmet akif,ÇETINKAYA ERDOGAN Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. Türk Göğüs Kalp Damar Cerrahisi Dergisi 29, no.3 (2021): 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| MLA | UGUR CHOUSEIN EFSUN GONCA,turan demet,ozgul mehmet akif,ÇETINKAYA ERDOGAN Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.29, no.3, 2021, ss.360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| AMA | UGUR CHOUSEIN E,turan d,ozgul m,ÇETINKAYA E Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2021; 29(3): 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| Vancouver | UGUR CHOUSEIN E,turan d,ozgul m,ÇETINKAYA E Secondary pulmonary malignancies requiring interventional bronchoscopic procedures. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2021; 29(3): 360 - 369. 10.5606/tgkdc.dergisi.2021.19927 |
| IEEE | UGUR CHOUSEIN E,turan d,ozgul m,ÇETINKAYA E "Secondary pulmonary malignancies requiring interventional bronchoscopic procedures." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 29, ss.360 - 369, 2021. 10.5606/tgkdc.dergisi.2021.19927 |
| ISNAD | UGUR CHOUSEIN, EFSUN GONCA vd. "Secondary pulmonary malignancies requiring interventional bronchoscopic procedures". Türk Göğüs Kalp Damar Cerrahisi Dergisi 29/3 (2021), 360-369. https://doi.org/10.5606/tgkdc.dergisi.2021.19927 |
