title: [Bronchus carcinoid tumor in the Tessin canton, retrospective analysis of 13 years and literature review].
abstract: Between 1981 and 1993, 27 bronchial carcinoids were diagnosed in patients living in the Swiss Canton of Ticino, with a mean age of 55 (24-78) years. The incidence was 0.79/100,000 inhabitants. Main symptoms were cough (41%), hemoptysis (30%) and bronchial obstruction such as pneumonia or atelectasis (26%). There were no cases with carcinoid crisis. Preoperative evaluation included chest X-ray (100%), bronchoscopic biopsy (84%), computed tomography (44%) and mediastinoscopy (15%). Some 69% of the patients underwent lobectomy and 15% segmental resection. Pneumonectomy was required for curative surgery in 2 patients. One patient underwent bronchoscopic resection. Surgery is generally indicated. The 5-year survival rate for typical carcinoid was 94% and was significantly reduced to 42% in atypical carcinoid cases (p = 0.02). Prognosis after radical surgery is favorable and depends mainly on lymph node involvement and the histological type of carcinoid.
authors.affiliation: Istituto cantonale di patologia, Locarno.
authors.forename: H
authors.initials: H
authors.lastname: John
authors.forename: L
authors.initials: L
authors.lastname: Gürke
authors.forename: E
authors.initials: E
authors.lastname: Pedrinis
authors.forename: G M
authors.initials: GM
authors.lastname: Solari
authors.forename: G
authors.initials: G
authors.lastname: Martinelli
authors.forename: P
authors.initials: P
authors.lastname: Thum
authors.forename: A
authors.initials: A
authors.lastname: Kuhrmeier
authors.forename: A
authors.initials: A
authors.lastname: Marx
authors.forename: S
authors.initials: S
authors.lastname: Martinoli
mesh_terms: D000328:Adult; D000368:Aged; D001984:Bronchial Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000401:mortality / Q000473:pathology / Q000628:therapy; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods / Q000401:mortality; D018714:Radiotherapy, Adjuvant; D016019:Survival Analysis
vernacular_title: Das Bronchuskarzinoid im Kanton Tessin, Retrospektive Analyse über 13 Jahre und Literaturübersicht.