Carcinoma of the Lung and Bronchus: Treatment With Radon Implantations and Diathermy

Abstract

Primary carcinoma of the lung has been designated as a new disease.It is certain that no longer than twenty years ago it was rarely recognized during life and only infrequently at autopsy. The statistics gathered and summarized by Fried in his recent book 1 show that a steady increase can be noted in the ratio which this form bears to all other carcinomas.There are probably two points which, considered in this connection, would seem to explain the increase in frequency. In the first place, many more people are living to reach the so-called "cancer age," that is, middle life. Among these people, this form of carcinoma manifests itself and is recognized more often. Here, then, is a real increase in

Innovation in rigid bronchoscopy—past, present, and future

“…He fulgurated it successfully several times (32). Then, in 1933, Kernan published a series of ten cases of carcinoma of the lung and bronchus treated with radon implantation and diathermy (33). Afterwards, significant complications decreased its use until new advancements allowed improvements in this technology to regain its usage, especially in flexible bronchoscopy (34,35).…”

Interventional bronchoscopy in the management of thoracic malignancy

“…Several other applications were reported in the next few years [ 31 , 32 ]; however, all of them posed a significant radiation exposure to healthcare staff. In 1964, H enschke and colleagues [ 33 , 34 ] addressed this by developing a remote afterloading device that significantly reduced radiation exposure.…”

Marcos históricos no estudo do cancro do pulmão

“…Os primeiros dois casos de cancro do pulmão tratados com braquiterapia endobrônquica foram referenciados em 1922 por Yankaver, utilizando um broncoscópio rígido sob anestesia local 400 . Dez anos mais tarde (1932), Pancoast e, um ano depois, Kernan, comunicaram procedimentos semelhantes 187,274 . Em 1961, Pool também referia a utilização endoluminal de produtos radioactivos em tumores da traqueia ou em caso de recidiva local pós-cirúrgica 284 , técnica que se foi desenvolvendo até aos nossos dias, nomeadamente com a aplicação de Iridium, com o aperfeiçoamento da dosimetria e um melhor planeamento por TC, e com avanços no entendimento dos efeitos biológicos da relação dose-tempo-fraccionamento 354 .…”