Abstract
Centrally located endobronchial tumors present diagnostic and therapeutic challenges. We report the case of a 30-year-old woman presenting with nonspecific respiratory symptoms and wheezing, who was initially diagnosed with asthma, but eventually was found to have a non-secreting typical carcinoid tumor of the right main bronchus. Surgical management with isolated resection of the right main bronchus allowed us to avoid any parenchymal loss. This case is an instructive example showing that not every wheeze is asthma, especially if the wheezing is unilateral. The excellent long-term outcome of our patient highlights the fact that for central carcinoids, parenchyma-saving resection together with systematic lymphadenectomy should be considered the standard surgical procedure.
Key words
Asthma - carcinoid - sleeve resection - avoidance of parenchymal loss
References
-
1
Filosso P L, Rena O, Donati G, Casadio C, Ruffini E, Papalia E, Oliaro A, Maggi G.
Bronchial carcinoid tumors: surgical management and long-term outcome.
J Thorac Cardiovasc Surg.
2002;
123
303-309
-
2
Harpole Jr D M, Feldman J M, Buchanan S, Young W G, Wolfe W G.
Bronchial carcinoid tumors: a retrospective analysis of 126 patients.
Ann Thorac Surg.
1992;
54
50-54
-
3
Schreurs A J, Westermann C J, Bosch J M, Vanderschueren R G, Riviere A, Knaepen P.
A twenty-five-year follow-up of ninety-three resected typical carcinoid tumors of the lung.
J Thorac Cardiovasc Surg.
1992;
104
1470-1475
-
4
Dusmet M E, McKneally M F.
Pulmonary and thymic carcinoid tumors.
World J Surg.
1996;
20 (2)
189-195
-
5 Weissberg D. Bronchial gland tumours. Pearson FG, Deslauriers J, Ginsberg RJ, Hiebert CA, McKneally MF, Urschel HC Thoracic surgery. 1st edition. Edinburgh; Churchill Livingstone Inc. 1995: 623-636
-
6 Pairolero P C, Trastek V F, Payne W S, Bernatz P E. Carcinoid tumors of the lung. Martini N, Vogt-Moykopf I Thoracic surgery: Frontiers and uncommon neoplasms. St Louis, MO; Mosby Company 1989
-
7
Brokx H A, Risse E K, Paul M A, Grünberg K, Golding R P, Kunst P W, Eerenberg J P, van Mourik J C, Postmus P E, Mooi W J, Sutedja T G.
Initial bronchoscopic treatment for patients with intraluminal bronchial carcinoids.
J Thorac Cardiovasc Surg.
2007;
133 (4)
973-978
-
8
El Jamal M, Nicholson A G, Goldstraw P.
The feasibility of conservative resection for carcinoid tumours: is pneumonectomy ever necessary for uncomplicated cases?.
Eur J Cardiothorac Surg.
2000;
18
301-306
-
9
Rea F, Rizzardi G, Zuin A, Marulli G, Nicotra S, Bulf R, Schiavon M, Sartori F.
Outcome and surgical strategy in bronchial carcinoid tumors: single institution experience with 252 patients.
Eur J Cardiothorac Surg.
2007;
31 (2)
186-191
-
10
Rizzardi G, Marulli G, Bortolotti L, Calabrese F, Sartori F, Rea F.
Sleeve resections and bronchoplastic procedures in typical central carcinoid tumours.
J Thorac Cardiovasc Surg.
2008;
56 (1)
42-45
Dr. Servet Bölükbas, MD, PhD
Department of Thoracic Surgery
Dr. Horst Schmidt Klinik
Ludwig-Erhard-street 100
65199 Wiesbaden
Germany
Phone: + 49 6 11 43 31 32
Fax: + 49 6 11 43 31 35
Email: servet_boeluekbas@web.de
