Abstract
The unfavourable epidemiological data of lung cancer has not been changed during the past ten years. The only possibility to cure this malignancy is surgical resection. The five year survival rate after surgery is highly dependent on early discovery of the tumor. Today, bronchoscopy plays a central role in the diagnosis, staging and therapy of lung cancer. The main indications of diagnostic bronchoscopy are the identification of the tumor and the determination of its extent. The aim of therapeutic bronchoscopy — laser photocoagulation, high dose rate afterloading irradiation and stent implantation —is to provide an acceptable quality of life and to manage symptoms such as bleeding, cough and dyspnea.
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References
Arroliga A and Mathay R: The role of bronchoscopy in lung cancer. Clin Chest Med 14:87–98,1993.
Beamis JF, Vergas K, Rebeiz. EE and Shapshay SM: Endoscopic laser therapy for obstructing tracheobronchial lesions. Ann Otol Rhinol Laryngol 100:413–419, 1991.
Becker H: Stenting of the central airways. Bronchology 2:98–106,1995.
Bedwinek J, Petty A, Button C, Sofield J and Lee L: The use of high dose rate endobronchial brachytherapy to palliate symptomatic endobronchial recurrence of previously irradiated bronchogenic carcinoma. Int J Radiat Oncol Biol Phys 22:23–30, 1992.
Boyle P: The revised european code against cancer. Oncology in Practice 3:4–8, 1995.
Brutinel WM, Cortese DA, McDougall JC, Gillio RG and Bergstralh EJ: A two-year experience with the neodymium-YAG laser in endobronchial obstruction. Chest 91:159–165. 1987.
Cavaliere S, Foccoli P and Farina PL: Nd:YAG laser bronchoscopy. A five-year experience with 1,396 applications in 1,000 patients. Chest 94:15–21, 1988.
Connolly CK, Jones WG, Thorogood J, Head C and Muers MF: Investigation, treatment and prognosis of bronchial carcinoma in the Yorkshire Region of England 1976-1983. Br J Cancer 61:579–583. 1990.
deSauza AC, Keal R, Hudson NM, Leveraient JN and Spyt TJ: Use of expandable wire stents for malignant airway obstruction. Ann Thorac Surg 57:1573–7, 1994.
Dumon J: A dedicated tracheobronchial stent. Chest 97:328–332, 1990.
Edell ES and Cortese DA: Bronchoscopic localization and treatment of occult lung cancer. Chest 96:919–921, 1989.
Gauwitz M, Ellerbroek N, Komaki R, Putnam JB, Ryan MB, DeCaro L, Davis, M and Cundiff J: High dose endobronchial irradiation in recurrent bronchogenic carcinoma. Int J Radiat Oncol Biol Phys 23:397–400, 1992.
Gollins SW, Burt PA, Barber PV and Stout R: High dose rate intraluminal radiotherapy for carcinoma of the bronchus: outcome of treatment of 406 patients. Radiother Oncol 33:31–40,1994.
Harrow E, Halber M, Hardy S and Halteman W: Bronchoscopic and roentgenographic correlates of a positive transbronchial needle aspiration in the staging of lung cancer. Chest 100:1592–1596, 1991.
Harrow EM, Oldenburg FA, Lingenfelter MS and Smith AM: Transbronchial needle aspiration in clinical practice. A five-year experience. Chest 96:1268–1272, 1989.
Hilaris BS: Lung brachytherapy. An overview and current indications. Chest Surg Clin N Am 4:45–53, 1994.
Hürter T and Hanrath P: Endobronchial sonography: feasibility and preliminary results. Thorax 47:565–567, 1992.
Lam S, MacAulay C, Hung J, Le Riche J, Profia AE and Palcic B: Detection of dysplasia and carcinoma in situ with a lung imaging fluorescence endoscope device. J Thorac Cardiovasc Surg 105:1035–1040, 1993.
Mak VH, Johnston ID, Hetzet MR and Grubb C: Value of washings and brushings at fibreoptic bronchoscopy in the diagnosis of lung cancer. Thorax 45:373–376, 1990.
Marsh BR: Bronchoscopic brachytherapy. Laryngoscope 99:1–13, 1989.
Mehta A, Kathawalla S, Chan C and Arroliga A: Role of bronchoscopy in the evaluation of solitary pulmonary nodule. Bronchology 2:315–322, 1995.
Miller JD, Gorenstein LA and Patterson GA: Staging: the key to rational management of lung cancer. Ann Thorac Surg 53:170–178, 1992.
Naidieh DP, Flint S, Ettenger NA and Arranda C: Hemoptysis: CT-bronchoscopic correlations in 58 cases. Radiology 177:357–362, 1990.
Negri E and La Vecchia C: Epidemiology of lung cancer: recent trends in mortalitiy with emphasis on Europe. Lung Cancer 12 (Suppl:l) S3-S11. 1995.
Paradelo JC, Waxman MJ, Throne BJ, Beller TA and Kopecky WJ: Endobronchial irradiation with 1921r in the treatment of malignant endobronchial obstruction. Chest 102:1072–1074, 1992.
Pirozynski M: Bronchoalveolar lavage in the diagnosis of peripheral, primary lung cancer. Chest 102:372–374, 1992.
Poe RH, Levy PC, Israel RH, Ortiz CR and Kallay MC. Use of fiberoptic bronchoscopy in the diagnosis of bronchogenic carcinoma. A study in patients with idiopathic pleural effusions. Chest 105:1663–1667. 1994.
Popp W, Rauscher H, Ritschka L, Redtenbacher S, Zwick H and Dutz W: Diagnostic sensitivity of different techniques in the diagnosis of lung tumors with the flexible fiberoptic bronchoscope. Comparison of brush biopsy, imprint cytology of forceps biopsy, and histology of forceps biopsy. Cancer 67:72–75, 1991.
Prakash U, Offord K and Stubbs S: Bronchoscopy in North America: the ACCP survey. Chest 100:1668–1665, 1991.
Putnam J: Palliation of central airway stenosis with the Dumon silicone stent. Chest 104:1651–1652, 1993.
Rennard SI and Spurzem JR: Bronchoalveolar lavage in the diagnosis of lung cancer. Chest 102:331–332, 1992.
Salathé M, Soler M, Bolliger C, Dalquen P and Perruchoud A: Transbronchial needle aspiration in routine fiberoptic bronchoscopy. Respiration 59:5–8, 1992.
Schray MF, McDougall JC, Martinez A, Cortese DA and Brutinel WM: Management of malignant airway compromise with laser and low dose rate brachytherapy. The Mayo Clinic experience. Chest 93:264–269, 1988.
Shure D, and Astarita R: Bronchogenic carcinoma presenting as an endobronchial mass. Optimal number of biopsy specimens for diagnosis. Chest 83:865–867, 1983.
Simonds A, Irving J, Clarke S and Dick R: Use of expandable metal stents in the treatment of bronchial obstruction. Thorax 44:680–681, 1989.
Simpson F, Arnold A, Pulvis A, Belfield P, Miters M and Cooke N: Postal survey of bronchoscopic practice by physicians in the United Kingdom. Thorax 41:311–317, 1986.
Stanopoulos IT, Beamis JF, Jr.,Martinez FJ, Vergas K and Shapshay SM: Laser bronchoscopy in respiratory failure from malignant airway obstruction. Crit Care Med 21:386–391, 1993.
National statistical data on pulmonology. Korányi National Institute of Pulmonology, Budapest/Hungary, 1994.
Strausz J, Kis S, Pápai Z, Szima B, Juhász J and Bölcskei P: Tracheobronchial silicone stent implantation with flexible bronchoscope. Bronchoscopy 1:123–125. 1994.
Suh JH, Dass KK, Pagliaccio L, Taylor ME, Saxton JP, Tan M and Mehta AC: Endobronchial radiation therapy with or without neodymium yttrium aluminum garnet laser resection for managing malignant airway obstruction. Cancer 73:2583–2588,1994.
Sutedja G, Baris G, Schaake Koning C and van Zandwijk N: High dose rate brachytherapy in patients with local recurrences after radiotherapy of non-small cell lung cancer. Int J Radiat Oncol Biol Phys 24:551–553, 1992.
Torrington K and Kern J: The utility of fiberoptic bronchoscopy in the evaulation of the solitary pulmonary nodules. Chest 104:1021–1024, 1993.
Utz J, Patel A and Edell E: The role of transcarinal needle aspiration in the staging of bronchogenic carcinoma. Chest 104:1012–1016, 1993.
Vansteenkiste J, Lacquet L, Demeds M, Deneffe G and Verbeken E: Transcarinal needle aspiration biopsy in the staging of lung cancer. Eur Respir J 7:265–268, 1994.
Viggiano R, Swensen S and Rosenow E: Evaluation and management of solitary and multiple pulmonary nodules. Clin Chest Med 13:83–95, 1992.
Walsh GL: Lasers for the early detection of lung cancer. Semin Thorac Cardiovasc Surg 5:194–200, 1993.
Wang K: Staging of bronchogenic carcinoma by bronchoscopy. Chest 106:588–593, 1994.
York E, Jones R, King E, Chaput M and Nguyen G: The value of submucous needle aspiration in the prediction of surgical resection line of bronchogenic carcinoma. Chest 100:1028–1029, 1991.
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Strausz, J. Lung cancer: A Bronchoscopic approach. Pathol. Oncol. Res. 2, 11–15 (1996). https://doi.org/10.1007/BF02893941
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DOI: https://doi.org/10.1007/BF02893941