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Case Reports
. 2016 Mar 24:18:22-3.
doi: 10.1016/j.rmcr.2016.03.007. eCollection 2016.

Tracheo-parenchymal fistula following concurrent chemo-radiation for stage III NSCLC

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Case Reports

Tracheo-parenchymal fistula following concurrent chemo-radiation for stage III NSCLC

Bashar Alzghoul et al. Respir Med Case Rep. .

Abstract

Non-Small Cell Cancer (NSCLC) are frequently diagnosed at a later stage [1]. Treatment involves chemotherapy and radiation, either sequentially or concurrently [2]. Concurrent therapy is more efficacious but also associated with more complications [4-6]. We present a rare care of trachea-pulmonary fistula formation after concurrent chemo and radiation in a patient with Squamous Cell Cancer (SCC).

Keywords: Bronchoscopy; Chemo-radiation; Lung cancer; Tracheo-pulmonary fistula.

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Figures

Fig. 1
Fig. 1
Computed tomography scan of the chest showing a 3.2 × 3.3 cm hilar mass with endo-bronchial extension, narrowing the right main bronchus (A). Computed tomography scan of the chest showing a thick walled cavity in the right upper lobe with tracheo-parenchymal fistula just above the right upper lobe bronchus (B). Bronchoscopy revealed a tracheoparenchymal fistula connecting the right main bronchus to a large cavity in the right upper lobe, destroying majority of the right main bronchus and causing significant attenuation of the bronchus intermedius (C).

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