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J Thorac Cardiovasc Surg 2007;133:1660-1661
© 2007 The American Association for Thoracic Surgery

Brief Communication

Bilateral sleeve lobectomy for synchronized bilateral central carcinoid tumor

Gokhan Yuncu, MDa, Serpil Sevinc, MDa, Berna Ozturk, MDb, Goksel Kiter, MDc,*, Ferda Bir, MDd, Nevzat Karabulut, MDe

a Medical Faculty, Thoracic Surgery Department, Pamukkale University, Denizli, Turkey
c Chest Department, Pamukkale University, Denizli, Turkey
d Pathology Department, Pamukkale University, Denizli, Turkey
e Radiology Department, Pamukkale University, Denizli, Turkey
b Chest Clinic, Denizli Government Hospital, Denizli, Turkey.

Received for publication December 9, 2006; revisions received January 5, 2007; accepted for publication January 23, 2007.

* Address for reprints: Goksel Kiter, MD, Pamukkale University, Medical Faculty, Chest Department, Kinikli 20070 Denizli, Turkey. (Email: gokselkiter@yahoo.com).

The first 20% of the full text of this article appears below.

We report an unusual case of synchronized bilateral central carcinoid tumors removed by means of bilateral sleeve lobectomy. Because they have a relatively benign course, lung-sparing procedures are advisable for centrally located carcinoid tumors when possible.

Clinical Summary

A 34-year-old man complained of cough, dyspnea, and fever for 8 months and was investigated for newly occurred hemoptysis.

Chest radiography showed left hilar enlargement and heterogeneous infiltration in the left upper zone. An endobronchial mass obliterating the left upper lobe (LUL) bronchus accompanied with LUL atelectasis and a 7-mm mass in the right intermediate bronchus was seen on computed tomography (Figures 1 and 2). Go


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  		Figure 1. Chest computed tomographic scan demonstrates an occluded left upper lobe bronchus causing distal atelectasis.

 

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  		Figure 2. Computed tomographic scan at the caudal level reveals a lobulated endobronchial mass within the intermediate bronchus.

 
Bronchoscopy revealed a vegetative mass obliterating the LUL bronchus and protruding to the left main bronchus and a polypoid lobular mass at the medial part of . . . [Full Text of this Article]






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