[Bronchus carcinoid tumor in the Tessin canton, retrospective analysis of 13 years and literature review].
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.
John
H
H
Istituto cantonale di patologia, Locarno.
Gürke
L
L
Pedrinis
E
E
Solari
G M
GM
Martinelli
G
G
Thum
P
P
Kuhrmeier
A
A
Marx
A
A
Martinoli
S
S
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
Das Bronchuskarzinoid im Kanton Tessin, Retrospektive Analyse über 13 Jahre und Literaturübersicht.