Korean J Med.  2010 Feb;78(2):235-240.

A case of early-detected synchronous lung cancer by narrow-band imaging treated with photodynamic therapy

• Park TS
• Park SI
• Kim SW
• Roh JH
• Park JW
• Jo JM
• Choi CM

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.

Keyword

Bronchoscopy; Photodynamic therapy; Lung cancer

MeSH Terms

Bronchoscopy
Carcinoma in Situ
Carcinoma, Non-Small-Cell Lung
Comorbidity
Esophageal Neoplasms
Humans
Lung
Lung Neoplasms
Photochemotherapy