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Original Article
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Korean J Med. 2010;78(2):235-240.
- 협대역영상으로 조기발견하여 광역동치료를 한 동시다발성 폐암 1예
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박태선, 박승일, 김상위, 노재형, 박진욱, 조정민, 최창민
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- A case of early-detected synchronous lung cancer by narrow-band imaging treated with photodynamic therapy
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Tai Sun Park, Seung-Il Park, Sang We Kim, Jae Hyung Roh, Jin Wook Park, Jung Min Jo, Chang-Min Choi
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- Abstract
- Surgical resection is the treatement of choice for early stage lung cancer. However, it is hazardous for patients with poor pulmonary function, multifocal endobronchial lesions, a previous history of major lung resection, or an important comorbidity. Under such circumstances, bronchoscopic photodynamic therapy could be considered as a treatment option for patients whose tumors are centrally located and bronchoscopically visible and accessible. We present a patient with radiologically occult synchronous non-small cell lung cancer accompanied by esophageal cancer. The esophageal cancer and a tumor in the right lower lobe were surgically removed, and a carcinoma in situ in the left upper lobe was treated with bronchoscopic photodynamic therapy. Nine months later, another tumor was detected in the right middle lobe by narrow-band imaging. The tumor was treated by photodynamic therapy again. In this case, narrow-band imaging played a crucial role in the diagnosis, and photodynamic therapy ensured complete application of the treatment. (Korean J Med 78:235-240, 2010)
Keywords :Bronchoscopy, Photodynamic therapy, Lung cancer
