Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma
Abstract Background Renal cell carcinoma is one of the major endobronchial metastases, and it occasionally causes life-threatening airway obstruction. Rigid bronchoscopy is useful as a palliative intervention; however, its utility for metastatic renal cell carcinoma has not been elucidated. The purp...
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| Veröffentlicht in: | Respiratory investigation 2016-07, Vol.54 (4), p.250-254 |
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| creator | Tsuboi, Rie Oki, Masahide Saka, Hideo Kogure, Yoshihito Oka, Saori Nakahata, Masashi Hori, Kazumi Murakami, Yasushi Ise, Yuko Moursi Ahmed, Shimaa Nour Tao, Meimei Kitagawa, Chiyoe |
| description | Abstract Background Renal cell carcinoma is one of the major endobronchial metastases, and it occasionally causes life-threatening airway obstruction. Rigid bronchoscopy is useful as a palliative intervention; however, its utility for metastatic renal cell carcinoma has not been elucidated. The purpose of this study was to evaluate the safety and efficacy of rigid bronchoscopic treatment for endobronchial metastasis of renal cell carcinoma. Methods Among 550 patients who underwent rigid bronchoscopic intervention at a single center from January 2005 to June 2015, 9 with metastatic renal cell carcinoma were retrospectively reviewed. Procedures were performed with rigid and flexible bronchoscopes under general anesthesia. Results In total, 20 procedures were performed on 9 patients who underwent stent implantation. Bleeding was observed in 12 (60%) procedures while severe hypoxia was observed in 2 (10%). The required amount of supplemental oxygen successfully decreased after all the 10 procedures (100%) in patients who previously needed it. Median survival after the first procedure was of 260 days (range, 63-913 days). Conclusions Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma is feasible with safety and effectiveness for palliation of airway obstruction, if one prepares sufficiently for massive intraoperative bleeding. |
| doi_str_mv | 10.1016/j.resinv.2016.02.003 |
| format | Article |
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Rigid bronchoscopy is useful as a palliative intervention; however, its utility for metastatic renal cell carcinoma has not been elucidated. The purpose of this study was to evaluate the safety and efficacy of rigid bronchoscopic treatment for endobronchial metastasis of renal cell carcinoma. Methods Among 550 patients who underwent rigid bronchoscopic intervention at a single center from January 2005 to June 2015, 9 with metastatic renal cell carcinoma were retrospectively reviewed. Procedures were performed with rigid and flexible bronchoscopes under general anesthesia. Results In total, 20 procedures were performed on 9 patients who underwent stent implantation. Bleeding was observed in 12 (60%) procedures while severe hypoxia was observed in 2 (10%). The required amount of supplemental oxygen successfully decreased after all the 10 procedures (100%) in patients who previously needed it. Median survival after the first procedure was of 260 days (range, 63-913 days). Conclusions Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma is feasible with safety and effectiveness for palliation of airway obstruction, if one prepares sufficiently for massive intraoperative bleeding.</description><identifier>ISSN: 2212-5345</identifier><identifier>EISSN: 2212-5353</identifier><identifier>DOI: 10.1016/j.resinv.2016.02.003</identifier><identifier>PMID: 27424824</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Aged ; Airway stenosis ; Airway stent ; Bronchial Neoplasms - secondary ; Bronchial Neoplasms - surgery ; Bronchoscopy ; Carcinoma, Renal Cell - secondary ; Carcinoma, Renal Cell - surgery ; Central airway obstruction ; Female ; Humans ; Internal Medicine ; Kidney Neoplasms - pathology ; Male ; Middle Aged ; Pulmonary/Respiratory ; Renal cell carcinoma ; Retrospective Studies</subject><ispartof>Respiratory investigation, 2016-07, Vol.54 (4), p.250-254</ispartof><rights>2016 The Japanese Respiratory Society</rights><rights>Copyright © 2016 The Japanese Respiratory Society. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-d4f2812de2765e165cfe9e56efb4244d9be2a72d33c610eeaff1fa0c8291cda33</citedby><cites>FETCH-LOGICAL-c441t-d4f2812de2765e165cfe9e56efb4244d9be2a72d33c610eeaff1fa0c8291cda33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27424824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsuboi, Rie</creatorcontrib><creatorcontrib>Oki, Masahide</creatorcontrib><creatorcontrib>Saka, Hideo</creatorcontrib><creatorcontrib>Kogure, Yoshihito</creatorcontrib><creatorcontrib>Oka, Saori</creatorcontrib><creatorcontrib>Nakahata, Masashi</creatorcontrib><creatorcontrib>Hori, Kazumi</creatorcontrib><creatorcontrib>Murakami, Yasushi</creatorcontrib><creatorcontrib>Ise, Yuko</creatorcontrib><creatorcontrib>Moursi Ahmed, Shimaa Nour</creatorcontrib><creatorcontrib>Tao, Meimei</creatorcontrib><creatorcontrib>Kitagawa, Chiyoe</creatorcontrib><title>Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma</title><title>Respiratory investigation</title><addtitle>Respir Investig</addtitle><description>Abstract Background Renal cell carcinoma is one of the major endobronchial metastases, and it occasionally causes life-threatening airway obstruction. Rigid bronchoscopy is useful as a palliative intervention; however, its utility for metastatic renal cell carcinoma has not been elucidated. The purpose of this study was to evaluate the safety and efficacy of rigid bronchoscopic treatment for endobronchial metastasis of renal cell carcinoma. Methods Among 550 patients who underwent rigid bronchoscopic intervention at a single center from January 2005 to June 2015, 9 with metastatic renal cell carcinoma were retrospectively reviewed. Procedures were performed with rigid and flexible bronchoscopes under general anesthesia. Results In total, 20 procedures were performed on 9 patients who underwent stent implantation. Bleeding was observed in 12 (60%) procedures while severe hypoxia was observed in 2 (10%). The required amount of supplemental oxygen successfully decreased after all the 10 procedures (100%) in patients who previously needed it. Median survival after the first procedure was of 260 days (range, 63-913 days). Conclusions Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma is feasible with safety and effectiveness for palliation of airway obstruction, if one prepares sufficiently for massive intraoperative bleeding.</description><subject>Adult</subject><subject>Aged</subject><subject>Airway stenosis</subject><subject>Airway stent</subject><subject>Bronchial Neoplasms - secondary</subject><subject>Bronchial Neoplasms - surgery</subject><subject>Bronchoscopy</subject><subject>Carcinoma, Renal Cell - secondary</subject><subject>Carcinoma, Renal Cell - surgery</subject><subject>Central airway obstruction</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Kidney Neoplasms - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pulmonary/Respiratory</subject><subject>Renal cell carcinoma</subject><subject>Retrospective Studies</subject><issn>2212-5345</issn><issn>2212-5353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUctKxDAUDaKo6PyBSJdupubVTmcjiPgCQfCxDpnkRu_YJmPSGfDvTanOwo0h5CbhnPs4h5ATRktGWX2-LCMk9JuS51dJeUmp2CGHnDM-rUQldrd3WR2QSUpLmlddccnqfXLAZ5LLhstD8vqEb2iLRQzevIdkwgpNgb6HuAHfY_CFC7EAb8MIQd0WHfQ65Y2pCK6I4POfgTYfOhr0odPHZM_pNsHkJx6R15vrl6u76cPj7f3V5cPUSMn6qZWON4xb4LO6AlZXxsEcqhrcIvcn7XwBXM-4FcLUjAJo55jT1DR8zozVQhyRszHvKobPNaRedZiGVrSHsE6KNbSSjZg3TYbKEWpiSCmCU6uInY5filE1aKqWatRUDZoqylXWNNNOfyqsFx3YLelXwQy4GAGQ59wgRJUMgjdgMYLplQ34X4W_CUyLHo1uP-AL0jKsYxY4z6JSJqjnwdfBVlZnRwWdiW_FOKA9</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Tsuboi, Rie</creator><creator>Oki, Masahide</creator><creator>Saka, Hideo</creator><creator>Kogure, Yoshihito</creator><creator>Oka, Saori</creator><creator>Nakahata, Masashi</creator><creator>Hori, Kazumi</creator><creator>Murakami, Yasushi</creator><creator>Ise, Yuko</creator><creator>Moursi Ahmed, Shimaa Nour</creator><creator>Tao, Meimei</creator><creator>Kitagawa, Chiyoe</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma</title><author>Tsuboi, Rie ; Oki, Masahide ; Saka, Hideo ; Kogure, Yoshihito ; Oka, Saori ; Nakahata, Masashi ; Hori, Kazumi ; Murakami, Yasushi ; Ise, Yuko ; Moursi Ahmed, Shimaa Nour ; Tao, Meimei ; Kitagawa, Chiyoe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-d4f2812de2765e165cfe9e56efb4244d9be2a72d33c610eeaff1fa0c8291cda33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Airway stenosis</topic><topic>Airway stent</topic><topic>Bronchial Neoplasms - secondary</topic><topic>Bronchial Neoplasms - surgery</topic><topic>Bronchoscopy</topic><topic>Carcinoma, Renal Cell - secondary</topic><topic>Carcinoma, Renal Cell - surgery</topic><topic>Central airway obstruction</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Kidney Neoplasms - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pulmonary/Respiratory</topic><topic>Renal cell carcinoma</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsuboi, Rie</creatorcontrib><creatorcontrib>Oki, Masahide</creatorcontrib><creatorcontrib>Saka, Hideo</creatorcontrib><creatorcontrib>Kogure, Yoshihito</creatorcontrib><creatorcontrib>Oka, Saori</creatorcontrib><creatorcontrib>Nakahata, Masashi</creatorcontrib><creatorcontrib>Hori, Kazumi</creatorcontrib><creatorcontrib>Murakami, Yasushi</creatorcontrib><creatorcontrib>Ise, Yuko</creatorcontrib><creatorcontrib>Moursi Ahmed, Shimaa Nour</creatorcontrib><creatorcontrib>Tao, Meimei</creatorcontrib><creatorcontrib>Kitagawa, Chiyoe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Respiratory investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsuboi, Rie</au><au>Oki, Masahide</au><au>Saka, Hideo</au><au>Kogure, Yoshihito</au><au>Oka, Saori</au><au>Nakahata, Masashi</au><au>Hori, Kazumi</au><au>Murakami, Yasushi</au><au>Ise, Yuko</au><au>Moursi Ahmed, Shimaa Nour</au><au>Tao, Meimei</au><au>Kitagawa, Chiyoe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma</atitle><jtitle>Respiratory investigation</jtitle><addtitle>Respir Investig</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>54</volume><issue>4</issue><spage>250</spage><epage>254</epage><pages>250-254</pages><issn>2212-5345</issn><eissn>2212-5353</eissn><abstract>Abstract Background Renal cell carcinoma is one of the major endobronchial metastases, and it occasionally causes life-threatening airway obstruction. Rigid bronchoscopy is useful as a palliative intervention; however, its utility for metastatic renal cell carcinoma has not been elucidated. The purpose of this study was to evaluate the safety and efficacy of rigid bronchoscopic treatment for endobronchial metastasis of renal cell carcinoma. Methods Among 550 patients who underwent rigid bronchoscopic intervention at a single center from January 2005 to June 2015, 9 with metastatic renal cell carcinoma were retrospectively reviewed. Procedures were performed with rigid and flexible bronchoscopes under general anesthesia. Results In total, 20 procedures were performed on 9 patients who underwent stent implantation. Bleeding was observed in 12 (60%) procedures while severe hypoxia was observed in 2 (10%). The required amount of supplemental oxygen successfully decreased after all the 10 procedures (100%) in patients who previously needed it. Median survival after the first procedure was of 260 days (range, 63-913 days). Conclusions Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma is feasible with safety and effectiveness for palliation of airway obstruction, if one prepares sufficiently for massive intraoperative bleeding.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>27424824</pmid><doi>10.1016/j.resinv.2016.02.003</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Airway stenosis Airway stent Bronchial Neoplasms - secondary Bronchial Neoplasms - surgery Bronchoscopy Carcinoma, Renal Cell - secondary Carcinoma, Renal Cell - surgery Central airway obstruction Female Humans Internal Medicine Kidney Neoplasms - pathology Male Middle Aged Pulmonary/Respiratory Renal cell carcinoma Retrospective Studies |
| title | Rigid bronchoscopic intervention for endobronchial metastasis of renal cell carcinoma |
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