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Takizawa D, Ishida T, Nakano H, Tachi H, Yamamoto Y, Shimizu K, Iizumi T, Sumiya T, Ohnishi K, Sakurai H. A case of massive hemoptysis caused by lung cancer saved by V-V ECMO and hemostasis achieved by radiotherapy. Int Cancer Conf J 2024; 13:54-57. [PMID: 38187181 PMCID: PMC10764686 DOI: 10.1007/s13691-023-00637-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Accepted: 10/19/2023] [Indexed: 01/09/2024] Open
Abstract
Massive hemoptysis is one of the fatal complications of lung cancer. There is no established standard treatment method for it, and it often causes sudden suffocation, and some cases may be difficult to save. A 63-year-old man was admitted to the hospital with dyspnea, and developed massive hemoptysis from lung cancer shortly after admission. The tumor had obstructed the right main bronchus and had invaded the right pulmonary artery. Surgery and interventional radiology were judged impossible. The patient was successfully saved by the introduction of Veno-Venous Extra Corporeal Membrane Oxygenation (V-V ECMO), and hemostasis was obtained by radiotherapy. Two months after completion of radiotherapy, he was weaned off the ventilator and discharged on his own. He died of increased peritoneal dissemination and other complications 1 year and 1 month later, but no recurrence of hemoptysis was noted until his death. We experienced a case of massive hemoptysis in which V-V ECMO and radiation therapy succeeded in saving life and stopping bleeding. The use of V-V ECMO by emergency care teams and multimodality therapy, including radiotherapy, were effective for massive hemoptysis from lung cancer.
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Affiliation(s)
- Daichi Takizawa
- Department of Radiation Oncology, Hitachi General Hospital, 2-1-1 Jonantyo, Hitachi, Ibaraki 317-0077 Japan
| | - Toshiki Ishida
- Department of Radiation Oncology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577 Japan
| | - Hidehiko Nakano
- Department of Emergency and Critical Care Medicine, Hitachi General Hospital, 2-1-1 Jonantyo, Hitachi, Ibaraki 317-0077 Japan
| | - Hiroaki Tachi
- Department of Respiratory Medicine, Hitachi General Hospital, 2-1-1 Jonantyo, Hitachi, Ibaraki 317-0077 Japan
| | - Yusuke Yamamoto
- Department of Respiratory Medicine, Hitachi General Hospital, 2-1-1 Jonantyo, Hitachi, Ibaraki 317-0077 Japan
| | - Kei Shimizu
- Department of Respiratory Medicine, Hitachi General Hospital, 2-1-1 Jonantyo, Hitachi, Ibaraki 317-0077 Japan
| | - Takashi Iizumi
- Department of Radiation Oncology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577 Japan
| | - Taisuke Sumiya
- Department of Radiation Oncology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577 Japan
| | - Kayoko Ohnishi
- Department of Radiology, School of Medicine, International University of Health and Welfare, 4-3 Kozunomori, Narita, Chiba 286-8686 Japan
| | - Hideyuki Sakurai
- Department of Radiation Oncology, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577 Japan
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