Bronchopulmonary carcinoid tumors: report of 15 cases

Yıl 2013, , 60 - 64, 01.06.2013

Yener Aydın Yavuz Selim İntepe Hasan Kaynar Atila Türkyılmaz Atilla Eroğlu

https://doi.org/10.5505/sakaryamj.2013.19981

Öz

Objective: Bronchopulmonary carcinoid tumors are rare and constitute less than 5% of all lung tumors. In this study, we aimed to evaluate results, treatment modalities and clinical features in carcinoid tumor patients who underwent surgical operation in our clinic in the light of literature.Materials and Methods: We retrospectively reviewed 15 patients with a diagnosis of carcinoid tumor, who were surgically treated in our clinic between January 2000 and December 2010. Patient characteristics of age, gender, symptoms, localization of lesion, diagnosis, treatment modality and morbidity and mortality ratios were reviewed in addition to length of hospital duration.Results: 8 (53.3%) of cases were male and 7 (46.7%) were female. Mean age was 38.7. Typical carcinoid tumor was detected in 14 cases while atypical carcinoid tumor was determined in only one patient. Carcinoid tumor localized in main bronchus or lobar bronchi in 14 cases and peripheral localization was observed in one case. Lobectomy was performed in 8 cases (53.3%), inferior bilobectomy in 3 cases, sleeve superior lobectomy in 1 case, bronchoplastic resection in 2 cases and wedge resection in 1 case. Postoperative atelectasis developed in one patient only. Hospital mortality was not seen in any of the cases. Mean length of hospital stay was 9.2 (5-13) days.Conclusion: In bronchopulmonary carcinoid tumors, complete resection of tumor tissue while preserving normal lung tissue provides promising results.

Anahtar Kelimeler

carcinoid tumor, clinical findings, surgery

Bronkopulmoner karsinoid tümörler: 15 olgu sunumu

Öz

Amaç: Bronkopulmoner karsinoid tümörler nadir olup tüm akciğer tümörlerinin %5'inden azını oluştururlar. Bu çalışmada kliniğimizde cerrahi tedavi uygulanan karsinoid tümörlü olguların klinik özellikleri, tedavi biçimleri ve sonuçlarının literatür verileri ışığında değerlendirilmesi amaçlandı. Materyal ve Metot: Ocak 2000 ve Aralık 2010 yılları arasında kliniğimizde karsinoid tümör tanısı alıp cerrahi ile tedavi edilen 15 olgu geriye dönük olarak incelendi. Hastaların yaşı, cinsiyeti, semptomlar, lezyonun lokalizasyonu, teşhisi, tedavi biçimi ve morbidite ve mortalite oranları ile hastane yatış süreleri gözden geçirildi. Bulgular: Olguların 8'i (%53.3) erkek, 7'si (%46.7) kadındı. Ortalama yaş 38.7 idi. Olgulardan 14'ünde tipik karsinoid tümör görülürken bir olguda atipik karsinoid tümör tespit edildi. Olguların 14'ünde karsinoid tümör ana bronş veya lob bronşuna yerleşirken bir olguda periferik yerleşim söz konusu idi. Olgulardan 8'ine (%53.3) lobektomi, 3 olguya bilobektomi inferior, 1 olguya sleeve üst lobektomi, 2 olguya bronkoplastik rezeksiyon ve 1 olguya wedge rezeksiyon uygulandı. Postoperatif sadece bir olguda atelektazi gelişti. Olguların hiçbirinde hastane mortalitesi gözlenmedi. Ortalama hastane yatış süresi 9.2 (5-13 gün) gün idi.Sonuç: Bronkopulmoner karsinoid tümörlerde normal akciğer dokusu korunarak tümörün tam rezeksiyonu yüz güldürücü sonuçlara sahiptir.

Anahtar Kelimeler

karsinoid tümör, klinik bulgular, cerrahi

Kaynakça

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