Multidisciplinary Management and Case Analysis of Malignant Strictures Caused by Advanced Lung Cancer Invading the Esophagus

Introduction Malignant strictures caused by advanced lung cancer invading the esophagus have become a challenging clinical issue, often requiring highly individualized comprehensive treatment strategies that balance anticancer therapy with complication management. Case Presentation This paper analyzes three complex cases to elucidate the critical role of multidisciplinary teams (MDTs) in developing integrated plans for nutritional support and anticancer treatment. The first case demonstrates that esophageal stent placement in patients with high tumor burden may trigger severe complications such as esophagomediastinal fistula. Conversely, cases two and three indicate that gastrostomy is a safe and effective nutritional support strategy for patients with longer expected survival or high risk for esophageal stent placement. Conclusion This study underscores that successful patient management relies on overcoming professional barriers to establish a comprehensive multidisciplinary strategy. This approach requires coordinated anti-tumor therapy, complication management, and nutritional support to ultimately improve patient survival and quality of life.