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Perhimpunan Dokter Paru Indonesia - The bronchial carcinoid tumor
 
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The bronchial carcinoid tumor

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image: lifebridgehealth.org

Xenia L?pez Contreras1, Vanesa L?pez Rodr?guez1, Sonia Herrero Mart?n1, Pilar Cebollero Rivas1, Jose Cascante Rodrigo1, Angel Panizo2 and Javier Hueto P?rez de Heredia1
1Pulmonary Medicine Service, Complejo Hospitalario de Navarra, Pamplona, Navarra Spain, 2Pathology Anatomy Service, Complejo Hospitalario de Navarra, Pamplona, Navarra Spain


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.


http://erj.ersjournals.com/content/46/suppl_59/PA4299



PDPI Lampung & Bengkulu. 11/07/17.



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