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Surgical management of bronchopulmonary carcinoids: A single center experience

INTRODUCTION: Bronchopulmonary carcinoids are uncommon tumors with relatively indolent biological behavior but a distinct malignant potential. Surgery is the mainstay of treatment. Our aim was to study preoperative characteristics, surgical approaches, and outcome in patients with bronchopulmonary c...

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Autores principales: Jakhetiya, Ashish, Garg, Pankaj Kumar, Pandey, Rambha, Ramanathan, Palaniappan, Kumar, Sunil, Nath, Debojit, Pandey, Durgatosh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379900/
https://www.ncbi.nlm.nih.gov/pubmed/28413786
http://dx.doi.org/10.4103/2278-330X.202568
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author Jakhetiya, Ashish
Garg, Pankaj Kumar
Pandey, Rambha
Ramanathan, Palaniappan
Kumar, Sunil
Nath, Debojit
Pandey, Durgatosh
author_facet Jakhetiya, Ashish
Garg, Pankaj Kumar
Pandey, Rambha
Ramanathan, Palaniappan
Kumar, Sunil
Nath, Debojit
Pandey, Durgatosh
author_sort Jakhetiya, Ashish
collection PubMed
description INTRODUCTION: Bronchopulmonary carcinoids are uncommon tumors with relatively indolent biological behavior but a distinct malignant potential. Surgery is the mainstay of treatment. Our aim was to study preoperative characteristics, surgical approaches, and outcome in patients with bronchopulmonary carcinoid tumors. PATIENTS AND METHODS: This retrospective study was done in the Department of Surgical Oncology of a Tertiary Teaching Hospital of North India. The case records of all the patients who underwent surgical treatment for lung neoplasms and were diagnosed to have bronchopulmonary carcinoids were reviewed. Details concerning the clinical presentation, preoperative therapy, operative procedure, postoperative complications, and outcome were retrieved from the case records. RESULTS: Sixteen patients who underwent surgical treatment were found to have bronchopulmonary carcinoids on histopathological examination. The median age of the patients was 34 years (range 18–62 years). There were 11 men and five women. All patients were symptomatic, and the median duration of symptoms was 12 months (range 6–72 months) before presentation. Six patients had received antitubercular treatment before presentation, and one patient had been treated with chemotherapy due to misdiagnosis. Surgical procedures included six pneumonectomies (one with carinoplasty), four bilobectomies, three lobectomies, and three bronchoplastic procedures (two with lobectomy and one with bilobectomy). There was no postoperative mortality; three patients had morbidity in the form of lobar collapse, prolonged pleural collection, and surgical site infection. With a median follow-up time of 11 months (range 2–85 months), all the 16 patients are alive and disease-free. CONCLUSIONS: Delayed presentation and misdiagnosis of bronchial carcinoid are major concerns in North India. Adequate surgical resection can be performed without undue morbidity and is associated with good long-term results.
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spelling pubmed-53799002017-04-14 Surgical management of bronchopulmonary carcinoids: A single center experience Jakhetiya, Ashish Garg, Pankaj Kumar Pandey, Rambha Ramanathan, Palaniappan Kumar, Sunil Nath, Debojit Pandey, Durgatosh South Asian J Cancer ORIGINAL ARTICLE: Lung Cancer INTRODUCTION: Bronchopulmonary carcinoids are uncommon tumors with relatively indolent biological behavior but a distinct malignant potential. Surgery is the mainstay of treatment. Our aim was to study preoperative characteristics, surgical approaches, and outcome in patients with bronchopulmonary carcinoid tumors. PATIENTS AND METHODS: This retrospective study was done in the Department of Surgical Oncology of a Tertiary Teaching Hospital of North India. The case records of all the patients who underwent surgical treatment for lung neoplasms and were diagnosed to have bronchopulmonary carcinoids were reviewed. Details concerning the clinical presentation, preoperative therapy, operative procedure, postoperative complications, and outcome were retrieved from the case records. RESULTS: Sixteen patients who underwent surgical treatment were found to have bronchopulmonary carcinoids on histopathological examination. The median age of the patients was 34 years (range 18–62 years). There were 11 men and five women. All patients were symptomatic, and the median duration of symptoms was 12 months (range 6–72 months) before presentation. Six patients had received antitubercular treatment before presentation, and one patient had been treated with chemotherapy due to misdiagnosis. Surgical procedures included six pneumonectomies (one with carinoplasty), four bilobectomies, three lobectomies, and three bronchoplastic procedures (two with lobectomy and one with bilobectomy). There was no postoperative mortality; three patients had morbidity in the form of lobar collapse, prolonged pleural collection, and surgical site infection. With a median follow-up time of 11 months (range 2–85 months), all the 16 patients are alive and disease-free. CONCLUSIONS: Delayed presentation and misdiagnosis of bronchial carcinoid are major concerns in North India. Adequate surgical resection can be performed without undue morbidity and is associated with good long-term results. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5379900/ /pubmed/28413786 http://dx.doi.org/10.4103/2278-330X.202568 Text en Copyright: © 2017 The South Asian Journal of Cancer http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle ORIGINAL ARTICLE: Lung Cancer
Jakhetiya, Ashish
Garg, Pankaj Kumar
Pandey, Rambha
Ramanathan, Palaniappan
Kumar, Sunil
Nath, Debojit
Pandey, Durgatosh
Surgical management of bronchopulmonary carcinoids: A single center experience
title Surgical management of bronchopulmonary carcinoids: A single center experience
title_full Surgical management of bronchopulmonary carcinoids: A single center experience
title_fullStr Surgical management of bronchopulmonary carcinoids: A single center experience
title_full_unstemmed Surgical management of bronchopulmonary carcinoids: A single center experience
title_short Surgical management of bronchopulmonary carcinoids: A single center experience
title_sort surgical management of bronchopulmonary carcinoids: a single center experience
topic ORIGINAL ARTICLE: Lung Cancer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379900/
https://www.ncbi.nlm.nih.gov/pubmed/28413786
http://dx.doi.org/10.4103/2278-330X.202568
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