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Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

by Mori, Taro , Yoneshima, Yasuto , Iwama, Eiji , Okamoto, Isamu , Yamamoto, Yoshihiro , Otsubo, Kohei , Oda, Yoshinao , Shibahara, Daisuke , Tanaka, Kentaro , Shiraishi, Yoshimasa

in Abscesses / Antibiotics / bronchomediastinal fistula / Case Report / Case Reports / chemoradiotherapy / Chemoradiotherapy - adverse effects / Chemotherapy / Dysphagia / Fistula / Fistula - etiology / Health risks / Humans / Infections / Lung cancer / Lung Neoplasms - complications / Lung Neoplasms - drug therapy / lymph node / Lymphatic system / Lymphoma / Male / Mediastinal Diseases - etiology / mediastinitis / Metastasis / Middle Aged / Myasthenia gravis / Neutropenia / Radiation therapy / Small Cell Lung Carcinoma - complications / Small Cell Lung Carcinoma - drug therapy / Tomography / Tracheal Diseases - etiology / Tracheal Diseases - therapy / tracheomediastinal fistula / Ultrasonic imaging

2024

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Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

by Mori, Taro , Yoneshima, Yasuto , Iwama, Eiji , Okamoto, Isamu , Yamamoto, Yoshihiro , Otsubo, Kohei , Oda, Yoshinao , Shibahara, Daisuke , Tanaka, Kentaro , Shiraishi, Yoshimasa

2024

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Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

by Mori, Taro , Yoneshima, Yasuto , Iwama, Eiji , Okamoto, Isamu , Yamamoto, Yoshihiro , Otsubo, Kohei , Oda, Yoshinao , Shibahara, Daisuke , Tanaka, Kentaro , Shiraishi, Yoshimasa

2024

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Journal Article

Tracheomediastinal fistula induced by concurrent chemoradiotherapy in small cell lung cancer: A case report and literature review

Mori, Taro,

Yoneshima, Yasuto,

Iwama, Eiji,

Okamoto, Isamu,

Yamamoto, Yoshihiro,

Otsubo, Kohei,

Oda, Yoshinao,

Shibahara, Daisuke,

Tanaka, Kentaro,

Shiraishi, Yoshimasa

2024

Overview

Tracheomediastinal fistula is a rare but life‐threatening complication of cancer. We report a case of tracheomediastinal fistula induced by concurrent chemoradiotherapy in limited stage small cell lung cancer. Despite the treatment response, the metastatic paratracheal lymph node increased gradually during concurrent chemoradiotherapy, resulting in the occurrence of tracheomediastinal fistula and mediastinitis. Without any surgical intervention, the patient achieved successful recovery from mediastinitis through antibiotic treatment, although the tracheomediastinal fistula remained open. In this report, we also review previous studies of tracheomediastinal and bronchomediastinal fistulas and summarize the clinical features. Tracheomediatinal fistula is a rare but life‐threatening complication of cancer. We report a case of tracheomediastinal fistula induced by concurrent chemoradiotherapy in limited stage small cell lung cancer. The metastatic paratracheal lymph node enlarged and subsequently perforated.

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Publisher

John Wiley & Sons Australia, Ltd,John Wiley & Sons, Inc,Wiley

Subject

Abscesses

/ Antibiotics

/ bronchomediastinal fistula

/ Case Report

/ Case Reports

/ chemoradiotherapy

/ Chemoradiotherapy - adverse effects