Chest
BronchoscopyBronchoscopic Therapy in Patients With Intraluminal Typical Bronchial Carcinoid
Section snippets
MATERIALS AND METHODS
The characteristics of the patients who underwent any bronchoscopic intervention are shown in Table 1. Seven patients were male and four were female; median age was 51 years (range, 22 to 60 years). Initial chest radiographic abnormalities were present in four patients: three had atelectasis, and in one patient a round tumor in the right main bronchus was seen on a well-penetrated posteroanterior chest radiograph. On standard conventional tomography or on computed tomographic (CT) scans, no
RESULTS
Six of the 11 patients received Nd-YAG laser treatment and one had a combination of Nd-YAG laser and photodynamic therapy. Four patients had mechanical removal of the tumor only. Six patients underwent surgery afterwards, because bronchoscopic evaluation could not rule out possible residual disease as judged by the bronchoscopists (Table 2). However, in the resected lung specimens of these six patients, no residual carcinoid was found. Median follow-up of this surgical group has been 70 months
DISCUSSION
The presentation of bronchial carcinoids is variable; in most patients, tumors are visible radiologically and the bronchoscopically visible intraluminal part may be the “tip of an iceberg.”1, 6 In a minority of patients, the tumor presents as a polyp-like structure in the airway lumen without gross roentgenologically detectable abnormalities.
Bronchoscopic therapy, such as tumor removal, Nd-YAG laser, and photodynamic therapy have been used for palliation in patients with malignant central
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Bronchoscopic management of endobronchial carcinoid presenting as asthma Mimic
2020, Respiratory Medicine Case ReportsCitation Excerpt :Similar long-term outcomes for typical carcinoids treated with standard surgery versus lung-sparing surgery or local resection suggest that minimal treatment optionsgive similar clinical outcomes with less morbidity [9-11]. Theoutcomes with minimally invasive surgical techniques also suggest that local regional treatment with endoscopic ablation could potentially be a first-line alternative [9-11]. There are different endobronchial interventional modalities available that have been used in the published literature for endobronchial carcinoids.
Pre-surgical bronchoscopic treatment for typical endobronchial carcinoids
2016, International Journal of SurgeryCitation Excerpt :Surgical resection remains the gold standard treatment for carcinoids. Advances in endoscopic procedures have expanded the potential of bronchoscopic treatment for respiratory carcinoids in selected cases characterized by intraluminal growth and a small base attachment (<1.5 cm2) [38–42]. These procedures may also represent a reasonable alternative for patients unfit for surgery.
Controversial tumors in pediatric surgical oncology
2014, Current Problems in SurgeryCitation Excerpt :Studies on adults have evaluated the use of “less radical” surgical interventions for typical BPCs, including pure bronchoplastic resections of the bronchus without pulmonary resection,431 neodymium-doped yttrium aluminum garnet laser (Nd:YAG),396,401,431-434 diathermy, cryosurgery,424 and bronchoscopic piecemeal resection.361 In fact, because typical BPCs appear to be less aggressive, limited resection with bronchoplastic surgery has been recommended when possible.360,424,435,436 Because approximately 20% of all BPCs manifest as purely intraluminal polyplike lesions without gross or radiologically detectable involvement of the bronchial wall and lung parenchyma,339,431 endoscopic treatment has become another modality to treat these tumors.
Bronchoplastic Procedures for Carcinoid Tumors
2014, Thoracic Surgery ClinicsCitation Excerpt :Approximately 20% of all carcinoid tumors present as pure endobronchial polyp-like lesions without gross radiologically detectable involvement of the bronchial wall and lung parenchyma.2 This unusual presentation and their indolent clinical course have contributed to competition in this specific setting between surgical resection and different endoscopic techniques, namely neodymium:yttrium-aluminum-garnet laser, diathermy, and cryosurgery.6–9 However, carcinoids arising within the bronchus with or without a limited extension through the bronchial wall are clearly suitable for resection with bronchoplasty (bronchial sleeve resection or wedge) when indicated.
Bronchoscopic treatment of thoracic malignancy
2023, AME Medical JournalAdvances in Endoscopic Management of Endobronchial Carcinoid
2023, Journal of Clinical Medicine