Part 7A: Airway Neoplasms

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Presentation transcript:

Part 7A: Airway Neoplasms BRONCHATLAS© Prepared By www.Bronchoscopy.org Visit us at Bronchoscopy.org 5/26/17

Malignant central airway obstruction Invading Thyroid cancer with extrinsic compression Necrotic Intraluminal, exophytic Squamous cell cancer obstructing Right main bronchus 5/26/17

Intraluminal exophytic lesions Necrotic Squamous cell Nodular Adenocarcinoma Nodular Squamous cell 5/26/17

Extrinsic compression Compression Left Main Bronchus from Esophageal cancer Compression trachea (with invasion) from Adenoid Cystic Carcinoma 5/26/17

Infiltrating tumors Small cell Lung Cancer Adenocarcinoma Lung 5/26/17

This finding is BEST described as Hypervascular mucosa overlying cartilaginous rings with thick yellow distal airway secretions. B) Neovascularization with extrinsic compression. C) Volume loss with airway wall invasion. A Click here for correct answer: 5/26/17

Laryngeal cancer Laryngeal cancer with necrosis 5/26/17

Tracheal tumors Adenoid cystic carcinoma Squamous cell carcinoma 5/26/17

Tumors Tumors can: Cause deformity of normal anatomy and be responsible for extrinsic compression or Grow into the airway wall and into the airway lumen And deform the airway wall or cause ulcerations and exophytic growth. 5/26/17

Carina adenopathy Subcarina and posterior carina adenopathy Subcarina and Pretracheal adenopathy 5/26/17

Neoplasm of carina Adenocarcinoma obstructing left and right main bronchi and lower third of trachea above the carina. 5/26/17

Carina tumors Small cell infiltrating carina Lymphoma invading Carina 5/26/17

Airway tumors Papilloma Kaposi Sarcoma Carcinoid Tumor 5/26/17

Endobronchial tumors Squamous cell cancer Renal cell cancer Leiomyosarcoma 5/26/17

Squamous cell carcinoma obstructing Right main bronchus Restored patency to Right main bronchus and right upper lobe Widened Carina and bleeding tumor Laser vaporization 5/26/17

Early lung cancer and carcinoma in-situ Note discreet granularity on spur RML bronchus Adjacent erythema, slightly raised mucosa 5/26/17

Metastatic malignant melanoma Three distinct appearances 5/26/17

Lymphoma Infiltrating lower lobe bronchus 5/26/17

Typical carcinoid (trachea) Open surgery usually curative Bronchoscopic surgery may be curative Metastases in less than 10 percent Treatment by Nd:YAG laser resection 5/26/17

Atypical carcinoid tumor Open surgery can be curative Metastases more frequent than for typical carcinoids Bronchoscopic resection alone rarely indicated unless poor surgical candidate Tumor at right main bronchus directly adjacent to right upper lobe take-off 5/26/17

Thyroid related disease Goiter Tumor Post resection Treatment by temporary silicone stent insertion 5/26/17

Thyroid cancer invading through tracheal wall 5/26/17

Esophageal cancer invading through airway wall 5/26/17

Extrinsic compression from esophageal cancer and esophageal stent Compression Left Main Bronchus Silicone stent for palliation 5/26/17

Tracheal Papillomatosis May be single or multiple Usually recurrent Treatment by Nd: YAG laser resection 5/26/17

Infiltrating nonhodgkin lymphoma 5/26/17

Endobronchial metastases Renal cell carcinoma Also caused by Breast cancer Melanoma Colon cancer Lung cancer Lymphoma 5/26/17

Bronchoalveolar cell carcinoma Watery, frothy bronchorrea Courtesy of Patricia Vujacich 5/26/17

Bronchial lymph nodes Adjacent to posterobasal segment Right lower lobe bronchus 5/26/17

BRONCHATLAS© Step by Step© & YouTube Instructional videos This presentation is part of a multidimensional competency-oriented curriculum for Flexible Bronchoscopy. Our goal is to eliminate patient suffering caused by unequal physician expertise and on-the-job training. 5/26/17 All Rights Reserved, 2017

All efforts are made by Bronchoscopy International to maintain currency of online information. Multimedia presentations and videos can be cited as: Bronchoscopy International: BronchAtlas©, an Electronic On-Line Multimedia Slide Presentation. http://www.Bronchoscopy.org/Bronchatlas/htm. Published 2017 (Please add “Date Accessed”). BRONCHATLAS© Thank you 5/26/17 All Rights Reserved, 2017

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