Abstract
A 70-year-old man with right partial hemiplegia was admitted to our hospital because of productive cough. Sputum cytology results were suspicious. On admission chest X-ray film showed no tumor shadow. Chest CT scans showed only thickening of the walls of the right main and upper lobe bronchi. Bronchofiberscopic examination revealed small nodular tumors at the orifice of the right upper lobe bronchus, which were diagnosed as squamous cell carcinoma by cytological examinations. Extensive superficial cancer infiltration characterized by an irregular mucosal surface and disappearance of the mucosal folds was also detected. Two courses of chemotherapy (cis-platin+vindesine) and chest irradiation (50Gy) were done simultaneously. After treatment, no visible tumor was found and no cancer cells were obtained by transbronchial brushing. The case suggested that combined modality treatment could be effective in inoperable squamous cell carcinoma of the hilar type.
