Abstract
Background. It is difficult to choose the optimal therapeutic modality for lung cancer in aged patients or those with poor performance status(PS). We report the successful use of bronchial arterial infusion with cisplatin and docetaxel in an elderly patient with poor PS suffering from squamous cell carcinoma of the lung. Case. An 80-year-old man was admitted for investigation of a mass in the hilum of the right lung. The mass obstructed the right main bronchus and was diagnosed as squamous cell carcinoma of the lung, cT3N1M0, stage III A. Initially we infused 60 mg of cisplatin and 40 mg of docetaxel via the right bronchial artery because of the patient's very poor PS(PS4). After BAI therapy, the tumor disappeared completely without major side effects, and the patient's PS and respiratory status improved to PS 1. Therefore we performed radiation therapy after BAI. Six months after BAI, the patient is alive without recurrence. Conclusion. BAI with cisplatin and docetaxel may be an effective therapeutic modality for patients with lung cancer showing poor PS.
