末期気管支癌に対する気管支鏡下Rd針刺入経験

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  • 川久保 淳
    東京医大耳鼻咽喉科 厚生中央病院耳鼻咽喉科
  • 橋本 東洋
    東京医大耳鼻咽喉科 厚生中央病院耳鼻咽喉科
  • 野原 忠
    東京医大耳鼻咽喉科 厚生中央病院耳鼻咽喉科
  • 白岩 恒男
    東京医大耳鼻咽喉科 厚生中央病院耳鼻咽喉科

書誌事項

タイトル別名
  • The Experience of Treatment, by Injection of Radon Seeds with Bronchoscope, of a Bronchial Cancer at End Stage
  • マッキ キカンシガン ニ タイスル キカンシキョウ カ Rd ハリサシニュウケイケン

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抄録

A 60-year-old male had operation of laryngectomy and telecovalt irradiation 20, 000r for larynx cancer in 1964.<BR>About 2 years later, came to admission, he had heavy subjective sympotoma; dispnea, dysphagia, chest-pain and severe cachexia etc., Left atelectasis was found by chest X-ray so called pan-cost type, and E.K.G. showed heavy inpediment of the heart.<BR>Bronchoscopic examination found expression on the right bronchus and obstructic gigantic tumor on the left bronchus, and it's tumor was determined epitheloid carcinoma by histologic examination.<BR>It was depends upon un-efficacious of operation or irradiation. Accordingly, we had prove, directly injection of Rd. seeds (1mc×7) with bronchoscope.<BR>About 3 days later, subjective symptoma was disappeared, and 7 days later atelectasis was extinguished at the chest X-ray. But patient died due to heart debility on 45 days later.<BR>Autopsy showed pericarditis carcinomatosa, but already bronchus tumor was extinguished by macro-examination. It was considered very efficacious rescure that bronchoscopic application of Rd. seeds to obstructic tumor for acute dyspnea of bronchial cancer at the end stage.

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