Bronchoplastic procedures in the treatment of endobronchial carcinoid tumors.
Pulmonary carcinoid tumor was surgically treated in 33 patients during a 22-year period. The tumor was polypoid and endobronchial in 19 (58%) of the patients. Conventional operation was required in 12 (63%) of the 19, viz. pneumonectomy (1), bilobectomy (1), lobectomy (9) or lingulectomy (1). In one of these 12 patients, metastasis to a salivary gland was found 15 years postoperatively, and to the mediastinum after 16 years. The other seven patients (5 female, 2 male) were treated with bronchoplasty, or with lobectomy and bronchial resection including bronchoplasty, to avoid more extensive pulmonary resection. All seven were recalled for follow-up examination 5 months to 10 years postoperatively. No recurrence or metastasis of the tumor was found, and spirometry and radiospirometry showed that the saved pulmonary tissue was functional.
Salminen
U S
US
Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Finland.
Halttunen
P
P
Miettinen
M
M
Mattila
S
S
D000293:Adolescent; D000328:Adult; D001980:Bronchi / Q000601:surgery*; D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D001995:Bronchography; D002276:Carcinoid Tumor / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011379:Prognosis; D012008:Recurrence