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The Bronchial Carcinoid Tumor
PDPI Malang, 02 Jul 2018 09:01:55

Abstract

Introduction: The bronchial carcinoid tumor represents the 2% of all lung tumors showing a different behavior to other lung tumors.

Objective: To analyze the behavior of bronchial carcinoid tumors in our environment.

Methods: A retrospective observational study over a period of 20 years (1994-2014) of patients diagnosed with carcinoid tumor in our hospital. Data was obtained from the clinical records: clinical, pathological, diagnostic method and survival.

Results: 69 patients. 66% male, mean age 54,6 years. 35% smoker, 38 % ex smoker, 27% no smoker. 56 (81%) typical, 13 (19%) atypical carcinoid tumor. The mean greatest pathologic dimension was 21 10 mm; results were not significantly different between typical and atypical (p =0,075)

Symptoms at diagnosis: asymptomatic 36, recurrent infection 10, hemoptysis 7, cough 6. It was found that there was a consistent location of tumors. 82% of these tumors were endobronchial in origin.

Diagnostic methods: bronchoscopy 35 (51%), intraoperative biopsy 40 (28%) and transthoracic puncture in 6 (9%). The most frequent surgical procedures were lobectomy with lymphadenectomy in 28 patients (40,6%), lobectomy, 25 patients (36%), bilobectomy 9 (13%).

Years Typical Atypical Patients (%)
5 56 10 66 (95)
10 49 9 58 (84)
15 47 9 56 (81)

The survival time intervals

During this period there was a mortality of 13 cases (19%) on which 4 (6%) were associated with tumor recurrence; being 1 of the group of typical and atypical 3.

Conclusions: In most cases the patients did not have symptoms at diagnosis Bronchoscopy was the most frequent diagnosis method Lobectomy with lymphadenectomy was the intervention in the highest percentage of cases.

MITRA KERJA
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