Bronchial Carcinoid Tumor: a Retrospective Analysis of 62 Surgically Treated Cases

Iglesias, M.; Belda, J.; Baldó, X.; Gimferrer, J.M.; Catalán, M.; Rubio, M.; Serra, M.

doi:10.1016/S1579-2129(06)70087-8

Archivos de Bronconeumología

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Vol. 40. Issue 5.

Pages 218-221 (May 2004)

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Pages 218-221 (May 2004)

Original Articles

DOI: 10.1016/S1579-2129(06)70087-8

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Bronchial Carcinoid Tumor: a Retrospective Analysis of 62 Surgically Treated Cases

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M. Iglesiasa,

Corresponding author

toracica@hotmail.com

Correspondence: Dra. M. Iglesias Sentís. Servei de Cirurgia Toràcica. ICPCT. Hospital Clínic. Villarroel, 170. 08036 Barcelona. España

, J. Beldaa, X. Baldób, J.M. Gimferrera, M. Catalána, M. Rubioa, M. Serrac

a Servei de Cirurgia Toràcica, ICPCT. Hospital Clínic i Provincial de Barcelona, Barcelona, Spain

b Servei de Cirurgia Toràcica, Hospital Universitari de Girona Dr. Josep Trueta, Girona, Spain

c Servei de Cirurgia Toràcica, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain

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Objective

TO evaluate the results of surgical treatment for lung carcinoid tumor.

Patients and method

The medical records of 62 patients who underwent surgical intervention for lung carcinoid tumor between May 1985 and October 2000 were reviewed.

Results

Fifty-two patients had typical carcinoid tumors and 10 had atypical carcinoid tumors. Hilar or mediastinal lymph node metastases were present in 9 patients. Distant metastasis occurred in 5 patients and was significantly more frequent in those with the atypical carcinoid histological subtype. The overall survival rate at 15 years was 70%, with a mean survival rate of 138 (SD 11) months, calculated with the Kaplan-Meier method. We found no statistically significant correlation between smoking and the development of carcinoid tumors.

Conclusions

Although carcinoid tumors behave like low-grade malignant tumors, they should be treated in the same way as other malignant lung tumors. Curative surgical resection is the technique of choice whenever possible.

Key words:

Carcinoid tumor

Carcinoid syndrome

Surgical treatment

Objetivo

Evaluar los resultados del tratamiento quirúrgico del tumor carcinoide pulmonar.

Pacientes Y MÉTODO

Se han revisado las historias clínicas de 62 pacientes intervenidos quirúrgicamente por un tumor carcinoide pulmonar entre mayo de 1985 y octubre de 2000.

Resultados

Cincuenta y dos pacientes tenían un carcinoide típico y 10 un carcinoide atípico. Nueve pacientes presentaban metástasis ganglionares hiliares o mediastínicas y 5 presentaban metástasis a distancia. Estas últimas fueron más frecuentes en el subtipo histológico carcinoide atípico con diferencias estadísticamente significativas. Cinco pacientes tenían clínica de síndrome carcinoide. La supervivencia global a los 15 años fue del 70% y la supervivencia media de 138 ± 11 meses. No encontramos asociación estadística entre el hábito tabáquico y el desarrollo de tumor carcinoide.

Conclusions

Aunque el tumor carcinoide se comporta como un tumor de bajo grado de malignidad, su tratamiento debe realizarse de modo similar al del resto de los tumores malignos pulmonares; la resección quirúrgica con intención curativa es la técnica de elección siempre que sea posible.

Palabras clave:

Tumor carcinoide

Síndrome carcinoide

Tratamiento quirúrgico

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