A 45-year-old man diagnosed with an atypical carcinoid tumour had undergone a left upper lobectomy completed with mediastinal lymphadenectomy. The patient was out of follow-up. He presented with dyspnoea and multiple metastases in his liver 5 years after the original diagnosis. A liver biopsy verified neuroendocrine tumour metastases, and the patient was started on everolimus. A thoracic computed tomography scan was taken (Fig. 1a). Rigid bronchoscopy revealed 3-cm long grape like nodules, starting 5cm distal to the vocal cords and obstructing the tracheal lumen 80% (Fig. 1b). The entrance to the right main bronchus and segment openings of distal bronchi were obstructed by nodular infiltrations. Nodular lesions in the trachea were coagulated with a diode laser (980nm wavelength, 4–25W, pulsed mode), and the airway was cleared. Argon plasma coagulation was used at the base of the lesions, and at the entrance of both main bronchi, to control haemorrhaging (Fig. 1c). The patient died 1 year after treatment. Survival with atypical carcinoid tumours is poor compared to typical carcinoids, but still better than for other lung cancers. Endobronchial treatment is an effective method for symptom palliation in patients with atypical carcinoid tumours and a malignant airway obstruction.
Impact factor
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.
© Clarivate Analytics, Journal Citation Reports 2022
Impact factor 2023
8.7
Citescore 2023
3.5
CiteScore Percentile
CiteScore Percentile indicates the relative standing of a serial title in its subject field.
See moreCiteScore Percentile 2022
41 %
SJR
SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
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0.46
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