The three dimensional endobronchial brachytherapy after the argon plasma coagulation

Abstract

Three dimensional (3D) endobronchial brachytherapy planning with computed tomography (CT) guidance may help the accurate localization of the target where the prescription dose was administered in patients with lung cancer. In this article, we present a 60-year-old male case of T3N3 non-small cell lung cancer patient who was previously treated with chemotherapy and external beam radiotherapy and was admitted with the complaints of hemoptysis, hoarseness and dyspnea. In his first bronchoscopy, argon laser coagulation was used due to massive hemorrhage of endobronchial lesion obstructed almost totally the left upper and lower lobes. The 3-fraction of 5Gy/week high dose rate endobronchial brachytherapy was applied with CT guided 3 dimensional planning and the atelectasis was opened, while hemoptysis and dyspnea were improved.