IV期间变性淋巴瘤激酶阳性非小细胞肺癌抢救手术后延迟支气管胸膜瘘形成。

IF 2.8 4区医学 Q2 ONCOLOGY

Current oncology Pub Date : 2025-04-25 DOI:10.3390/curroncol32050250

Lauren Barter, Stephanie Snow, Aneil Mujoomdar, Lara Best, Daniel French

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引用次数: 0

摘要

本病例报告强调了一名接受系列酪氨酸激酶抑制剂（TKIs）治疗的IV期间变性淋巴瘤激酶（ALK）阳性非小细胞肺癌（NSCLC）患者在补救性肺切除术后出现延迟性支气管胸膜瘘（BPF）的管理，以实现局部控制，没有影像学证据表明疾病。最初的肺切除术是复杂的密集粘连和一个异常折磨肺动脉。指数手术后6周，患者出现延迟性BPF，需要去皮、气道修复和前锯肌皮瓣覆盖支气管残端。

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Delayed Bronchopleural Fistula Formation Following Salvage Surgery of Stage IV Anaplastic Lymphoma Kinase-Positive Non-Small-Cell Lung Cancer.

This case report highlights the management of a delayed bronchopleural fistula (BPF) following salvage pulmonary resection to achieve local control and no radiographic evidence of disease in a patient treated with serial tyrosine kinase inhibitors (TKIs) for stage IV anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer (NSCLC). The initial pulmonary resection was complicated by dense adhesions and an abnormally torturous pulmonary artery. Six weeks after the index surgery, the patient presented with a delayed BPF requiring decortication, repair of airway, and coverage of the bronchial stump with a serratus anterior muscle flap.

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来源期刊

Current oncology ONCOLOGY-

CiteScore

3.30

自引率

7.70%

发文量

664

审稿时长

1 months

期刊介绍： Current Oncology is a peer-reviewed, Canadian-based and internationally respected journal. Current Oncology represents a multidisciplinary medium encompassing health care workers in the field of cancer therapy in Canada to report upon and to review progress in the management of this disease. We encourage submissions from all fields of cancer medicine, including radiation oncology, surgical oncology, medical oncology, pediatric oncology, pathology, and cancer rehabilitation and survivorship. Articles published in the journal typically contain information that is relevant directly to clinical oncology practice, and have clear potential for application to the current or future practice of cancer medicine.