PMID- 33651465 OWN - NLM STAT- MEDLINE DCOM- 20211119 LR - 20211119 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 12 IP - 8 DP - 2021 Apr TI - Endobronchial brachytherapy combined with surgical procedure for synchronous multiple primary lung cancer: A case report. PG - 1252-1255 LID - 10.1111/1759-7714.13911 [doi] AB - The management of synchronous multiple primary lung cancer is a challenge. In this report, we describe our experience in a patient with three synchronous multiple cancers. The first lesion was completely surgically removed, the second lesion received postoperative irradiation, and the third lesion was treated with radiotherapy alone. Radiation therapies were performed using a combination of external irradiation and endobronchial brachytherapy. Endobronchial brachytherapy is an effective radiation therapy for endobronchial tumors owing to its advantage of high-dose concentration. However, adverse events (AEs) such as hemoptysis or severe bronchitis are a problem. Thus, we have developed an applicator to keep the radioactive source in the center of the bronchial lumen. A total of 28 months after treatment, the patient had not experienced any relapses or AEs. Endobronchial brachytherapy using an applicator can be an alternative treatment for cases in which surgery is expected to lead to pulmonary dysfunction. CI - (c) 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Omori, Kazuki AU - Omori K AD - Department of Radiology, Mie University, Tsu, Japan. FAU - Nomoto, Yoshihito AU - Nomoto Y AUID- ORCID: 0000-0003-4063-3067 AD - Department of Radiology, Mie University, Tsu, Japan. FAU - Kawamura, Tomoko AU - Kawamura T AD - Department of Radiology, Mie University, Tsu, Japan. FAU - Kubooka, Makiko AU - Kubooka M AD - Department of Radiology, Mie University, Tsu, Japan. FAU - Kawaguchi, Koji AU - Kawaguchi K AD - Department of Thoracic Surgery, Mie University, Tsu, Japan. FAU - Ii, Noriko AU - Ii N AD - Department of Radiation Oncology, Ise Red Cross Hospital, Ise, Japan. FAU - Takada, Akinori AU - Takada A AD - Department of Radiology, Mie University, Tsu, Japan. FAU - Toyomasu, Yutaka AU - Toyomasu Y AD - Department of Radiology, Mie University, Tsu, Japan. FAU - Sakuma, Hajime AU - Sakuma H AD - Department of Radiology, Mie University, Tsu, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20210302 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 SB - IM MH - Aged MH - Brachytherapy/*methods MH - Bronchoscopy/*methods MH - Humans MH - Lung Neoplasms/*diagnostic imaging/pathology MH - Male PMC - PMC8046068 OTO - NOTNLM OT - applicator OT - endobronchial brachytherapy OT - synchronous multiple primary lung cancer COIS- The authors declare that there are no conflicts of interest. EDAT- 2021/03/03 06:00 MHDA- 2021/11/20 06:00 PMCR- 2021/04/01 CRDT- 2021/03/02 12:17 PHST- 2021/02/12 00:00 [revised] PHST- 2020/12/26 00:00 [received] PHST- 2021/02/12 00:00 [accepted] PHST- 2021/03/03 06:00 [pubmed] PHST- 2021/11/20 06:00 [medline] PHST- 2021/03/02 12:17 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - TCA13911 [pii] AID - 10.1111/1759-7714.13911 [doi] PST - ppublish SO - Thorac Cancer. 2021 Apr;12(8):1252-1255. doi: 10.1111/1759-7714.13911. Epub 2021 Mar 2.