Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2013 Jun;30(2):199-205.
doi: 10.1055/s-0033-1342962.

Palliative procedures in lung cancer

Emi Masuda  1 , Akhilesh K Sista  1 , Bradley B Pua  1 , David C Madoff  1
Affiliations
Review

Palliative procedures in lung cancer

Emi Masuda et al. Semin Intervent Radiol. 2013 Jun.

Abstract

Palliative care aims to optimize comfort and function when cure is not possible. Image-guided interventions for palliative treatment of lung cancer is aimed at local control of advanced disease in the affected lung, adjacent mediastinal structures, or distant metastatic sites. These procedures include endovascular therapy for superior vena cava syndrome, bronchial artery embolization for hemoptysis associated with lung cancer, and ablation of osseous metastasis. Pathophysiology, clinical presentation, indications of these palliative treatments, procedural techniques, complications, and possible future interventions are discussed in this article.

Keywords: hemoptysis; interventional radiology; osseous metastasis; palliative treatment; superior vena cava (SVC) syndrome.

PubMed Disclaimer

Figures

Figure 1
Figure 1
A 65-year-old woman with superior vena cava (SVC) syndrome secondary to metastatic lung cancer. (A) Chest radiograph shows a right upper lobe Pancoast tumor with postobstructive right upper lobe collapse. (B) Venography demonstrates abrupt transition at the distal left brachiocephalic vein, slitlike narrowing at the site of tumor compression, and delayed venous drainage of the SVC. (C) Successful deployment of a 14 mm × 80 mm self-expanding stent with sequential balloon angioplasty. (D) Completion superior vena cavogram with excellent flow from the right internal jugular vein through the SVC with no delayed venous drainage. The patient's head and neck swelling resolved within 2 days.
Figure 2
Figure 2
A 72-year-old man with stage IIIB lung cancer and massive hemoptysis. (A) Contrast-enhanced computed tomography with large right upper lobe mass. (B, C) Right intercostobronchial angiogram, early and delayed phases, demonstrates enlarged abnormal vessels feeding a hypervascular mass with a pseudoaneurysm. (D) Postembolization with 300- to 500-µm microspheres demonstrates complete stasis of flow to the hypervascular mass.
Figure 3
Figure 3
Cryoablation treatment for local control of right iliac bone solitary metastasis. (A) Noncontrast computed tomography at the time of ablation demonstrates an osteolytic expansile mass in the right iliac bone. (B) Four cryoprobes were placed in the mass, creating a well-delineated ice ball extending beyond the visible tumor.
See this image and copyright information in PMC

References

    1. Yim C D, Sane S S, Bjarnason H. Superior vena cava stenting. Radiol Clin North Am. 2000;38(2):409–424. - PubMed
    1. Markman M. Diagnosis and management of superior vena cava syndrome. Cleve Clin J Med. 1999;66(1):59–61. - PubMed
    1. Schindler N Vogelzang R L Superior vena cava syndrome. Experience with endovascular stents and surgical therapy Surg Clin North Am 1999793683–694., xi - PubMed
    1. Fagedet D, Thony F, Timsit J F. et al.Endovascular treatment of malignant superior vena cava syndrome: results and predictive factors of clinical efficacy. Cardiovasc Intervent Radiol. 2013;36(1):140–149. - PubMed
    1. Lanciego C, Pangua C, Chacón J I. et al.Endovascular stenting as the first step in the overall management of malignant superior vena cava syndrome. AJR Am J Roentgenol. 2009;193(2):549–558. - PubMed