[Bronchopulmonary carcinoids: surgical therapy and prognosis].
From 1976 to 1996 sixty patients with bronchopulmonary carcinoid were operated on at our institution. Post-operative histologic examination revealed typical carcinoid tumors in 50 cases and atypical carcinoid tumors in 10 cases. Preoperative diagnosis was correct in 32 cases (53%) and wrong in 11 cases (18%). In 17 cases (29%) we carried out a diagnostic thoracotomy. Resection was potentially for cure in 55/60 patients. Five-year-survival rates were 100% for patients with typical carcinoid tumors and 97% and 92% at 10 and 15 years, respectively. Regional lymphatic tissue was involved in typical (12%) as well as in atypical carcinoid tumors (20%). Furthermore distant metastasis occurred in both types of tumors, 4% in typical and 11% in atypical carcinoid tumors. There was no relationship between lymph node involvement and distant metastasis. Local recurrence was seen in 2/60 patients. Both patients suffered from atypical carcinoid tumors. Patients in whom only incomplete resection due to advanced tumor stage was possible showed no benefit from operative therapy.
Huwer
H
H
Abteilung für Thorax- und Herz-Gefässchirurgie der Universität des Saarlandes, Homburg.
Kalweit
G
G
Krüger
B
B
Straub
U
U
Schäfers
H J
HJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D002276:Carcinoid Tumor / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011013:Pneumonectomy; D011379:Prognosis; D015996:Survival Rate
Bronchopulmonale Karzinoide: Operative Therapie und Prognose.