Evidence map›Paper›PMID 42592161›Full record

ArticleRespirology case reports2026

Bronchial Chondronecrosis After Proton Beam Therapy Successfully Treated With Hyperbaric Oxygen Therapy.

Masataka Hirai, Takamasa Kitajima, SungChul Park, Takehisa Takagi, Ikuko Honda, Yokiko Ohe, Daiki Inoue, Motonari Fukui, Satoshi Marumo

Abstract read
In one paragraph

Article in Respirology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Masataka HiraiRespiratory Disease Center Medical Research Institute KITANO HOSPITAL Osaka Japan.ORCID https://orcid.org/0009-0001-6569-2023
Takamasa KitajimaRespiratory Disease Center Medical Research Institute KITANO HOSPITAL Osaka Japan.ORCID https://orcid.org/0000-0001-7251-659X
SungChul ParkDepartment of Radiation Oncology Kobe Proton Center Kobe Japan.ORCID https://orcid.org/0000-0002-9882-9620
Takehisa TakagiDivision of Therapeutic Radiology and Oncology Medical Research Institute KITANO HOSPITAL Osaka Japan.
Ikuko HondaRespiratory Disease Center Medical Research Institute KITANO HOSPITAL Osaka Japan.
Yokiko OheRadiation Toxicity Clinic Jutokukai Uegahara Hospital Nishinomiya Japan.
Daiki InoueRespiratory Disease Center Medical Research Institute KITANO HOSPITAL Osaka Japan.ORCID https://orcid.org/0000-0001-9923-3266
Motonari FukuiRespiratory Disease Center Medical Research Institute KITANO HOSPITAL Osaka Japan.ORCID https://orcid.org/0000-0001-7584-4839
Satoshi MarumoRespiratory Disease Center Medical Research Institute KITANO HOSPITAL Osaka Japan.ORCID https://orcid.org/0000-0003-0524-0508

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Airway chondronecrosis is a rare but serious manifestation of late radiation-induced toxicity. We report the case of a 67-year-old woman with epidermal growth factor receptor mutation-positive lung adenocarcinoma who developed bronchial chondronecrosis 8 years after proton-beam therapy (PBT) to the right upper lobe nodule. For 2 years, she was treated for cough-variant asthma owing to a persistent cough. Chest computed tomography (CT) showed only a subtle irregularity of the right main bronchial wall. Bronchoscopy revealed yellow necrotic deposits in the right main bronchi. Although a conventional forceps biopsy was nondiagnostic, transbronchial lung cryobiopsy (TBLC) obtained cartilage specimens, confirming bronchial chondronecrosis without malignancy. Hyperbaric oxygen therapy (HBOT) (90 sessions in total) led to symptomatic and bronchoscopic improvement. This case highlights that very-late-onset airway chondronecrosis following PBT must be considered, even with minimal CT findings. TBLC is a valuable tool for diagnosing submucosal lesions and HBOT appears to be an effective therapy.

Indexed as

bronchial chondronecrosishyperbaric oxygen therapynon‐small cell lung cancerproton beam therapytransbronchial lung cryobiopsy

Identifiers

PMID42592161
PMCPMC13464118

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.