Conservative and bronchoplastic resection for bronchial carcinoid tumours

Toledo, J.; Roca, Rafael Alonso; Antón, Julián; Nicolás, J.L. Martín de; Varela, Gonzálo; Yuste, Pedro

doi:10.1016/1010-7940(89)90024-9

Cited by 13 publications

(6 citation statements)

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“…The larger biopsy specimens obtained through the rigid bronchoscope can induce serious hemorrhage, but their yield is probably greater. In our review of the literature 587 endoscopic biopsies of carcinoid tumors were found (using both rigid and flexible endoscopes) [1,2,4,5,7,17,18,32,33,[35][36][37]48]. A total of 15 cases of significant hemorrhage were reported, of which 11 required neither transfusion nor operation.…”

Section: Diagnosismentioning

confidence: 99%

Pulmonary and Thymic Carcinoid Tumors

1996

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Carcinoid tumors of the lung and bronchi are usually benign lesions with no influence on life expectancy, although occasionally, they are malignant with a poor prognosis. Between these two extremes are atypical carcinoids, which can be slow-growing tumors with an average 5-year survival of 60% and an average 10-year survival of 40%. The myriad names used to describe these lesions complicates the understanding of their behavior, especially as the term carcinoid is used to describe the complete spectrum of disease or exclusively the benign well differentiated lesions with an excellent prognosis. Thymic carcinoids are uncommon lesions. Their prognosis is poor, even in cases that appear favorable in terms of resectability and histology. Pulmonary carcinoids present uncommonly with a paraneoplasic syndrome. Both carcinoid and Cushing syndromes are seen with approximately 2% of these lesions. Cushing syndrome can be present in as many as one-third of patients with thymic carcinoids but an association with the carcinoid syndrome has never been described.

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Section: Diagnosismentioning

confidence: 99%

Pulmonary and Thymic Carcinoid Tumors

1996

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“…The latest publications have noted that it is suitable to perform parenchyma-sparing resections for proximal and typical carcinoid tumors. [5,16] For example, Machuca et al [11] expressed that the modern management of bronchial carcinoids should consist of parenchyma-sparing procedures whenever feasible, and Ferguson et al [17] concluded that limited resections, such as wedge resections or segmentectomies for peripheral tumors and isolated bronchial sleeve resections or sleeve lobectomies for proximal tumors, should be considered whenever possible for early-stage typical carcinoid tumors because local recurrence is unlikely and the chance of survival is excellent. On the other hand, two of our patients who underwent wedge resections had a peripheral typical carcinoid tumor without lymph node invasion.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of bronchial carcinoid tumors: 11-year experience

Dadaş¹,

Tanju²,

Özkan³

et al. 2014

Turk Gogus Kalp Dama

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Bu çalışmada, bronşiyal karsinoid tümörlü hastalarda cerrahi tedavi, ameliyat sonrası komplikasyonlar ve uzun dönem sonuçlar sunuldu. Ça lış mapla nı:Ocak 2000-Aralık 2010 tarihleri arasında ameliyat öncesi ve sonrası patolojik olarak bronşiyal karsinoid tümör olduğu doğrulanmış 57 hastaya (34 kadın, 23 erkek; ort. yaş 43 yıl; dağılım 13-83 yıl) akciğer rezeksiyonu uygulandı. Cerrahi tipi, karsinoid tümörün histopatolojik tipi, ameliyat sonrası komplikasyonlar ve uzun dönem sonuçlar değerlendirildi. Bul gu lar: Patolojik muayenede 44 (%77) tipik, 13 (%23) atipik karsinoid tümör saptandı. Hastaların 23'üne (%40.3) bronşiyal sleeve reseksiyon, üçüne (%5.2) pnömonektomi, 27'sine (%47.3) lobektomi, dördüne (%7) sublobar rezeksiyon uygulandı. Sekiz hastada (%14) ameliyat sonrası komplikasyon gözlendi. Ameliyat sırası mortalite gözlenmedi. Takip döneminde hiçbir hastada ölüm ve lokal nüks olmadı. So nuç: Parenkim koruyucu rezeksiyonlar (sleev lobektomi ve sleev bronşiyal rezeksiyon), tipik karsinoid tümörlü hastalarda, negatif cerrahi sınır elde etmek koşulu ile uzun dönem takip sürecinde iyi prognoz sağlayabilir. Anah tar söz cük ler: Bronşiyal karsinoid tümör; uzun dönem sonuç; parenkim koruyucu rezeksiyon. Background:This study aims to present surgical treatment, postoperative complications, and long-term outcomes in patients with a bronchial carcinoid tumor. Methods: Between January 2000 and December 2010, 57 patients (34 females, 23 males; mean age 43 years; range 13 to 83 years) underwent pulmonary resection for pre-and postoperatively pathologically confirmed bronchial carcinoid tumors. Type of surgery, histopathological types of carcinoid tumor, postoperative complications, and long-term results were evaluated. Results: Pathological examination revealed 44 (77%) typical and 13 (23%) atypical carcinoid tumors. Bronchial sleeve resection, pneumonectomy, lobectomy and sublobar resection were performed on 23 (40.3%), three (5.2%), 27 (47.3%) and four patients (7%), respectively. Eight patients (14%) had postoperative complications. There was no perioperative mortality. During the follow-up period, no mortality or local recurrence occurred. Conclusion: During long-term follow-up period, parenchyma-sparing resections (sleeve lobectomy and bronchial sleeve resection) can achieve good prognosis in patients with typical carcinoid tumor if tumor free surgical margins can be obtained.

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“…Table 2.2 describes four telemedicine projects we identified as the initial pool of projects for the evaluation. (Toledo, Roca, Antón, Martin de Nicolás, Varela, et al, 1989). No formal assessment is available.…”

Section: Identify the Most-successful Existing Telemedicine Projects mentioning

confidence: 99%