J.Jpn. Surg. Soc.. 105(4): 271-274, 2004

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Feature topic

ONCOGENIC EMERGENCIES：APPROPRIATE TREATMENT IN LUNG CANCER

Several critical situations in patients with lung cancer are considered oncogenic emergencies. For example, massive hemoptysis, severe airway stenosis, retention of large amounts of pleural and pericardial effusion, and superior vena cava syndrome are situations requiring immediate care. For uncontrollable massive hemoptysis, embolization of the bronchial artery is a useful treatment method. For airway stenosis, rapid widening of the airway by endoscopic surgery is necessary. Since massive retention of pleural or pericardial effusion is lifethreatening, prompt drainage is required. For brain metastasis with increased intracranial pressure decompression surgery is useful to prevent brain herniation. Spinal cord compression by epidural metastasis is considered to be an indication for emergency decompressive laminectomy in selected patients. Since the severity of emergent situations varies individually, the appropriate treatment should be determined based on the clinical condition of individual patients.

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