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CASE REPORT
Year : 2018  |  Volume : 23  |  Issue : 1  |  Page : 30

Endotracheal stent increased survival length in patients with invasive thymic adenocarcinoma


1 Faculty of Medicine, University of Belgrade; Clinical Centre of Serbia, Clinic for Pulmonology, Belgrade, Serbia
2 Faculty of Medicine, University of Belgrade; Clinical Centre of Serbia, Clinic for Infectious and Tropic Diseases, Belgrade, Serbia
3 Clinical Centre of Serbia, Clinic for Pulmonology, Belgrade, Serbia
4 Department for Thoraco-Pulmonary Pathology, Clinical Centre of Serbia, Belgrade, Serbia

Correspondence Address:
Dr Tatjana Adzic-Vukicevic
Clinical Centre of Serbia, Clinic for Pulmonology, Koste Todorovica 8, 11000 Belgrade; Faculty of Medicine, University of Belgrade, Belgrade
Serbia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jrms.JRMS_831_17

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We reported the first case of inoperative thymic adenocarcinoma successfully palliative treated by the double-stent procedure. In a patient who expressed stridor, computed tomography was done and necrotic mediastinal mass, which protrudes into a trachea, was demonstrated. Fiberoptic bronchoscopy showed tracheal infiltration and 70% stenosis; therefore, surgical resection was inapplicable. Recanalization with repeated argon plasma coagulation and debridement of necrotic mass was performed, followed by placement of the endotracheal stent, radiotherapy, and chemotherapy. After 1 year, the patient developed gastric aspiration and tracheoesophageal fistula; therefore, the esophageal stent was placed. The outcome was lethal, but the placement of endotracheal stent significantly increased a length of survival for the patient with invasive thymic adenocarcinoma.


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