Journal of Research in Medical Sciences 2018. 23(4):J Res Med Sci 2018, 23:30 (26 April 2018).

Endotracheal stent increased survival length in patients with invasive thymic adenocarcinoma
Tatjana Adzic?Vukicevic, Aleksandra Barac, Ana Blanka?Protic, Spasoje Popovic, Zivka Uskokovic?Stefanovic, Jelena Stojsic, Aleksandra Dudvarski Ilic

Abstract


We reported the frst case of inoperative thymic adenocarcinoma successfully palliative treated by the double?stent procedure. In a patient who expressed stridor, computed tomography was done and necrotic mediastinal mass, which protrudes into a trachea, was demonstrated. Fiberoptic bronchoscopy showed tracheal infltration and 70% stenosis; therefore, surgical resection was inapplicable. Recanalization with repeated argon plasma coagulation and debridement of necrotic mass was performed, followed by placement of
the endotracheal stent, radiotherapy, and chemotherapy. After 1 year, the patient developed gastric aspiration and tracheoesophageal fstula; therefore, the esophageal stent was placed. Te outcome was lethal, but the placement of endotracheal stent signifcantly increased a length of survival for the patient with invasive thymic adenocarcinoma.


Keywords


Adenocarcinoma, palliative care, stent, thymus, tracheoesophageal fstula

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