title: A case of parenchymal-sparing right mainstem bronchial sleeve resection for carcinoid tumor.
abstract: Introduction Neuroendocrine tumors are rare bronchial carcinomata often presenting in a central airway. Resection usually includes a sleeve of the bronchus with the underlying lobe. Case report We present a 19-year old male with retro-obstructive pneumonia from a tumor in the right mainstem bronchus. Bronchoscopy showed an obstructive mass confirmed as being a typical carcinoid on biopsy. Sleeve resection of the mainstem bronchus only was successfully performed sparing the entire right lung. Discussion and conclusion This type of limited tumoral resection should be reserved for carefully selected patients with a low-grade neoplasm without extrabronchial extension and with both tumor-negative lymph nodes and bronchial margins on frozen section.
authors.affiliation: a Department of Thoracic Surgery , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Bert Du
authors.initials: BD
authors.lastname: Pont
authors.affiliation: a Department of Thoracic Surgery , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Herbert
authors.initials: H
authors.lastname: Decaluwé
authors.affiliation: a Department of Thoracic Surgery , University Hospitals Leuven , Leuven , Belgium.
authors.forename: Dirk
authors.initials: D
authors.lastname: Van Raemdonck
mesh_terms: D001984:Bronchial Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D001999:Bronchoscopy / Q000379:methods; D002276:Carcinoid Tumor / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018450:Disease Progression; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011014:Pneumonia / Q000175:diagnosis / Q000209:etiology; D049268:Positron-Emission Tomography / Q000379:methods; D013902:Radiography, Thoracic / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
keywords: Lung cancer; neuroendocrine (incl carcinoid; small cell) – bronchoplasty