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[Bronchial carcinoids. Our experience with 35 cases].

P Descovich1, L Ansaloni, M Grazia

  • 1Dipartimento di Scienze Chirurgiche ed Anestesiologiche, Università degli Studi, Bologna.

Minerva Chirurgica
|June 1, 2000
PubMed
Summary

This study reviewed 35 bronchial carcinoid cases, finding typical carcinoids have a 95.8% 5-year survival rate. Atypical carcinoids require lobectomies as minimal oncologic surgical treatment for better outcomes.

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Oncology

Context:

  • Bronchial carcinoids are neuroendocrine lung neoplasms.
  • This study reviews 35 cases treated over 20 years (1978-1997).

Purpose:

  • To review personal experience with bronchial carcinoids.
  • To evaluate surgical treatment and outcomes for bronchial carcinoids.

Summary:

  • The study analyzed 35 patients with bronchial carcinoids, noting a male-to-female ratio of 0.6 and an average age of 42.5 years.
  • Surgical interventions ranged from lobectomy to wedge resections. Typical carcinoids (85.7%) showed a 95.8% 5-year survival, while atypical carcinoids (14.3%) had an 80% survival rate.
  • Lymphonodal metastases were observed in 5.7% of cases, primarily in centrally located atypical carcinoids.

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Impact:

  • Lobectomy and sleeve lobectomy are confirmed as standard surgical procedures for most bronchial carcinoids.
  • Atypical carcinoids necessitate lobectomies as the minimum oncologic surgical treatment.
  • The findings contribute to understanding the prognosis and optimal surgical management of bronchial carcinoids.