Zusammenfassung
Wir berichten über einen 71-jährigen Patienten, der zur weiteren Abklärung einer schnell zunehmenden, zuletzt schweren Luftnot in unsere Klinik verlegt wurde. Endobronchial fand sich eine subtotale Verlegung der Trachea durch Metastasen eines malignen Melanoms. Es erfolgten eine Tumorausräumung und die Einlage eines gecoverten Nitinolstents, die zu Beschwerdefreiheit führten. Unter Chemotherapie der Grunderkrankung und lokaler Radiotherapie beobachteten wir bei den weiteren Kontrolluntersuchungen seit 9 Monaten einen stabilen klinischen Verlauf ohne erneutes endotracheales Tumorwachstum.
Abstract
We report the case of a 71-year-old man, who was transferred to our clinic with rapidly increasing dyspnea. On examination by flexible bronchoscopy the trachea was found to be almost completely obstructed by metastatic masses of a malignant melanoma. After endoscopic removal of the obstruction, we inserted a covered nitinol stent which led to instantaneous relief of symptoms. Chemotherapy and local radiotherapy were instituted. During the next 9 months there were no signs of recurrence of the tumour in regular pneumological control exams.
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Dr. Michael Stanke
Kreiskrankenhaus
Bahnberg 5a
31199 Diekholzen
eMail: stanke@klinik-diekholzen.de
