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Open Access Case Report

Bronchopleural fistula after non small cell lung cancer radiofrequency ablation: what it implying to us?

Weimiao Li, Lijun Huang, Yong Han, Yongan Zhou, Qiang Lu* and Xiaofei Li*

Author Affiliations

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi’an 710038, China

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Diagnostic Pathology 2013, 8:202  doi:10.1186/1746-1596-8-202

Published: 10 December 2013

Abstract

Radiofrequency ablation (RFA) is an alternative method to treat the inoperable NSCLC and there were few serious complications after RFA therapy have been reported. Here, we reported a NSCLC patient endured empyema after treatment by RFA for one month. There was a 20 × 25 × 20 mm mass on the right middle lobe by CT scan before RFA and a huge gas cavity with liquid was found in the right chest cavity after RFA treatment for twenty- eight days. A hole in the right middle lobe was found with large amount of pus in the pleural cavity as well as the bronchopleural fistula (BPF) during the operation. Results from the postoperative pathology showed a multiple small foci differentiated adenocarcinoma, partial bronchiolar-alveolar carcinoma, 0.5 cm away around the hole at the same time. It is difficult to diagnose and treat the rare complication of BPF, while, the larger field of ablation might be helpful to postpone the tumor local progression. Therefore, surgery was a good option for BPF especially when an empyema occurred.

The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/8028049341122276 webcite.

Keywords:
Non–small cell lung cancer; Radiofrequency ablation; Pathological changes