J Thorac Cardiovasc Surg 2006;131:753-754
© 2006 The American Association for Thoracic Surgery
Two-staged treatment of bronchial carcinoid without pulmonary parenchymal resection
Motoyasu Sagawa, MD
*
,
Makoto Sugita, MD,
Sumiko Maeda, MD,
Tsutomu Sakuma, MD
Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan
Received for publication October 22, 2005; accepted for publication November 7, 2005.
* Address for reprints: Motoyasu Sagawa, MD, Department of Thoracic Surgery, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa 920-0293, Japan (Email: sagawam@kanazawa-med.ac.jp).
| The first 20% of the full text of this article appears below. |
Typical carcinoid of the bronchus is regarded as a low-grade malignancy.
1,2
Although surgical resection is the most appropriate form of therapy, the extent of resection should be limited, favoring preservation of pulmonary function. Preferred procedures include sleeve lobectomy and sleeve segmentectomy.
1-3
We herein report a case of bronchial carcinoid located in the right intermediate bronchus. Treatment consisted of endobronchial resection of the tumor and resection of the intermediate bronchus with complete preservation of the pulmonary parenchyma.
Clinical Summary
A 38-year-old woman was transferred to our hospital for the treatment of a polypoid tumor causing almost complete obstruction of the right intermediate bronchus (Figure 1, A). Because the accurate peripheral extent of the tumor was unable to be evaluated, our initial treatment strategy involved endobronchial resection of the tumor. Under local anesthesia, endoscopic resection using electrosurgery was performed with a flexible bronchoscope and a snare. Pathologic examination of the resected tumor provided the diagnosis of typical carcinoid.
Copyright © 2006 by The American Association for Thoracic Surgery.
