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Bronchial carcinoids

M Ribet1, B Gosselin, L Gambiez

  • 1Department of Thoracic Surgery, Clinique Chirurgicale Ouest, CHU, Lille, France.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 1, 1993
PubMed
Summary
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Bronchial carcinoids, often misdiagnosed, require surgical resection similar to carcinomas due to potential complications like obstruction and recurrence. Careful pathological review is crucial for accurate diagnosis and treatment planning.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Oncology

Background:

  • Bronchial carcinoids represent a significant portion of resected bronchial tumors.
  • These tumors are often misclassified preoperatively, complicating management.

Purpose of the Study:

  • To analyze the clinical characteristics, diagnostic accuracy, surgical management, and outcomes of bronchial carcinoids.
  • To emphasize the need for treating bronchial carcinoids with the same consideration as carcinomas.

Main Methods:

  • Retrospective review of 74 bronchial carcinoid cases over 20 years.
  • Analysis of preoperative diagnostic accuracy, surgical procedures, and pathological findings.
  • Evaluation of postoperative outcomes, including recurrence and mortality.

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Main Results:

  • Preoperative diagnostic accuracy was only 49% (27/54).
  • Various surgical resections were performed, with lobectomy being the most common.
  • Two cases were reclassified as neuroendocrine carcinoma upon pathology review, and recurrences were noted.

Conclusions:

  • Bronchial carcinoids necessitate surgical resection due to diagnostic errors, obstruction potential, associated tumors, and lymphatic involvement.
  • Treating bronchial carcinoids as carcinomas is recommended due to potential for recurrence and diagnostic challenges.