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Bronchial carcinoid tumor: experience over 20 years.
Y D Conley1, A R Cafoncelli, J H Khan
1Department of Surgery, Charleston Area Medical Center, West Virginia University.
The American Surgeon
|November 1, 1992
Summary
Bronchial carcinoid tumors are rare lung neoplasms. While typical carcinoid tumors have a good prognosis, atypical carcinoid tumors often disseminate and are fatal.
Area of Science:
- Pulmonology
- Oncology
- Pathology
Background:
- Bronchial carcinoid tumors are rare neuroendocrine neoplasms of the lung.
- They represent a small fraction of all lung tumors, necessitating a review of clinical presentations and outcomes.
Purpose of the Study:
- To retrospectively review cases of bronchial carcinoid tumors.
- To analyze clinical presentations, diagnostic methods, treatment, and patient outcomes.
Main Methods:
- Retrospective review of 19 bronchial carcinoid tumor cases over 20 years.
- Analysis of patient complaints, diagnostic procedures (chest radiography, bronchoscopy, biopsy), surgical interventions, and follow-up data.
Main Results:
- Bronchial carcinoid tumors accounted for 0.4% of lung tumors.
- Common symptoms included hemoptysis, pulmonary infection, chest pain, and diarrhea (especially with atypical carcinoids).
- 36% of patients were asymptomatic, diagnosed incidentally via chest radiograph; 69% had visible tumors on bronchoscopy.
Conclusions:
- Typical bronchial carcinoid tumors generally have a favorable prognosis.
- Atypical carcinoid tumors exhibited aggressive behavior with dissemination and poor outcomes, with all patients succumbing to the disease.