Obstruction, Perforation, Infection, and Haemorrhage in Thoracic Cancer

  • T. M. Scheinin
  • P. J. Roberts


Several different primary or secondary malignancies cause significant, even life-threatening, obstruction of intrathoracic organs or structures. The lumen of hollow organs may be occluded by malignant invasion, or by external compression by malignancies, e.g. in the upper mediastinum. These obstructions may be single or multiple; there may be tracheal and oesophageal obstruction in addition to a superior vena cava syndrome. Mediastinal cancer in particular may lead to obstructions, with symptoms and signs such as stridor and dyspnoea, dysphagia, oedema, cyanosis and petechial haemorrhages. The aggressive types of thymic tumours or teratomas causing the obstructions should be surgically removed, and postoperative radiotherapy and chemotherapy may be needed. Lymphomas causing multiple obstructions should be treated with radio- and chemotherapy. The different obstructions and their common causes are presented under separate subheadings.


Oesophageal Cancer Superior Vena Cava Syndrome Middle Colic Artery Colonic Interposition Pleural Empyema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Austin EH, Flye MW (1979) The treatment of recurrent malig­nant pleural effusion. Ann Thorac Surg 28: 190–203PubMedCrossRefGoogle Scholar
  2. Belsey RHR (1980) Palliative management of esophageal car­cinoma. Am J Surg 139: 789–794PubMedCrossRefGoogle Scholar
  3. Fleischer D, Sivak MV Jr (1985) Endoscopic Nd:YAG laser therapy as palliation for esophagogastric cancer. Parameters affecting initial outcome. Gastroenterology 89: 827–831PubMedGoogle Scholar
  4. Grillo HC (1978) Tracheal tumours: surgical management. Ann Thorac Surg 26: 112–125PubMedCrossRefGoogle Scholar
  5. Lokich JJ, Goodman R (1975) Superior vena cava syndrome. Clinical management. JAMA 231: 58–61CrossRefGoogle Scholar
  6. Lowe JE, Bridgman AH, Sabiston DC Jr (1982) The role of bronchoplastic procedures in the surgical management of benign and malignant pulmonary lesions. J Thorac Cardio-vasc Surg 83: 227Google Scholar
  7. Mannell A (1982) Carcinoma of the esophagus. Curr Probl Surg 14: 555–647Google Scholar
  8. Michel L, Grillo HC, Malt RA (1981) Operative and nonopera-tive management of esophageal perforations. Ann Surg 194: 57–63PubMedCrossRefGoogle Scholar
  9. Ong GB, Kwong KH (1970) Management of malignant esophagobronchial fistula. Surgery 67: 293–301PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • T. M. Scheinin
  • P. J. Roberts

There are no affiliations available

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