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Related Experiment Video

Updated: Jun 15, 2026

Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
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Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer

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A nonresponding small cell lung carcinoma.

Niels B Pronk1, Albert J Polman, Lotus Sterk

  • 1Medisch Spectrum Enschede, Enschede, The Netherlands. pronkniels@hotmail.com

Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer
|March 4, 2010
PubMed
Summary
This summary is machine-generated.

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This case study details a patient with limited small cell lung cancer experiencing persistent disease and syndrome of inappropriate antidiuretic hormone. Surgical lobectomy was used to achieve local control after failed therapies.

Area of Science:

  • Oncology
  • Thoracic Surgery
  • Pulmonology

Background:

  • Small cell lung carcinoma (SCLC) is an aggressive cancer.
  • Syndrome of inappropriate antidiuretic hormone (SIADH) is a common paraneoplastic syndrome in SCLC.
  • Limited disease SCLC typically requires multimodal therapy.

Observation:

  • A patient with limited disease SCLC presented with persistent disease after chemoradiotherapy and second-line chemotherapy.
  • The patient also suffered from a persistent and problematic SIADH.
  • Local control remained a challenge despite systemic and radiation treatments.

Findings:

  • Surgical lobectomy was performed to achieve local control of the limited disease SCLC.
  • This case highlights the challenges in managing persistent SCLC and associated SIADH.

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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

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  • Aggressive local treatment may be considered when systemic therapies fail.
  • Implications:

    • Lobectomy can be a viable option for achieving local control in select SCLC cases.
    • Multidisciplinary management is crucial for patients with refractory SCLC and SIADH.
    • Further research into optimal treatment strategies for persistent SCLC is warranted.