27 Bronchus Cancer

Bronchus Cancer

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THE GEC ESTROHANDBOOKOF BRACHYTHERAPY | Part II Clinical Practice Version 1 - 30/04/2017

Fig. 29.2 A: Endobronchial brachytherapy with a small (<2mm, 5 to 6 French) endobronchial applicator, fixed into a tertiary bronchus for treatment of a small lesion in the right secondary bronchus of the lower lobe

Fig. 29.2 B: 2 D visualisation of the inserted catheter.: PTV is GTV +20mmm

Fig. 29.2 C: Intraluminal treatment of endobronchial lesions with 2 tubes Schematic anatomical diagram showing the ideal situation with two tubes encompassing a small tumour located in the carina of two tertiary bronchi in the left lower lobe.

D: Anterior-posterior localisation radiographs in an extensive tumour growing into both main stem bronchi including the main carina. The two intraluminal tubes diverge at the main carina.

Fig. 29.3. The Fritz Adjustable intraluminal applicator (Elekta –Nucletron) endobronchial catheter with inflatable centring balloon to avoid over and underdosage of the tumour and/or bronchial mucosa