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Semin intervent Radiol 2024; 41(02): 121-128
DOI: 10.1055/s-0044-1786725
Review Article

An Interventional Radiologist's Guide to Lung Cancer

Adam G. Fish
1   Section of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut
,
David C. Madoff
1   Section of Interventional Radiology, Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, Connecticut
2   Section of Medical Oncology, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
3   Section of Surgical Oncology, Department of Surgery, Yale School of Medicine, New Haven, Connecticut
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Abstract

Lung cancer continues to be the third leading cause of cancer and the leading cause of cancer deaths. As the field of interventional oncology continues to grow, interventional radiologists are increasingly treating lung cancer patients. Involvement begins with tissue diagnosis for which biomarkers and immunohistochemistry are used to guide selective and advanced medical therapies. An interventional radiologist must be aware of the rationale behind tissue diagnosis and techniques to minimize biopsy complications. Staging is an important part of tumor board conversations and drives treatment pathways. Surgical therapy remains the gold standard for early-stage disease but with an aging population the need for less invasive treatments such as radiation therapy and ablation continue to grow. The interventionalist must be aware of the indications, techniques, and pre- and posttherapy managements for percutaneous ablation. Endovascular therapy is broadly divided into therapeutic treatment of lung cancer, which is gaining traction, and treatment of lung cancer complications such as hemoptysis. This review aims to provide a good basis for interventional radiologists treating lung cancer patients.

Keywords

lung cancer - percutaneous ablation - bronchial artery embolization - pulmonary - artery pseudoaneurysms - lung cancer hemoptysis - interventional radiology


Publication History

Article published online:
10 July 2024

© 2024. Thieme. All rights reserved.

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