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Fractured esophageal self-expandable metallic stent in a patient with advanced lung cancer: a case report and review of the literature

机译:晚期肺癌患者食管自扩张金属支架破裂:一例报道并文献复习

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摘要

Self-expandable metallic stents (SEMS) are the currently recommended treatment modality for palliation of dysphagia resulting from unresectable malignant esophageal obstruction. The most common post-SEMS-placement complications are migration, perforation, bleeding, and tumor ingrowth or overgrowth. We report herein a patient with advanced lung cancer invading the esophagus with the very rare late complication of spontaneous stent fracture 8 months after esophageal SEMS placement, together with a comprehensive review of the related literature. To the best of our knowledge, this is the first report describing the spontaneous fracture of an esophageal SEMS inserted for the palliative treatment of malignant esophageal obstruction due to extrinsic invasion by lung cancer.
机译:自扩张金属支架(SEMS)是目前推荐的治疗方法,可减轻因无法切除的恶性食管阻塞而引起的吞咽困难。 SEMS放置后最常见的并发症是迁移,穿孔,出血以及肿瘤向内生长或过度生长。我们在此报告了一名食管SEMS放置8个月后自发性支架骨折晚期并发症极少见的晚期食管浸润性晚期肺癌患者,并对相关文献进行了全面回顾。据我们所知,这是第一份描述食管SEMS自发性骨折的报道,该插管用于姑息治疗肺癌外源性侵袭引起的恶性食管阻塞。

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