Surgical treatment of bronchial carcinoid tumors: A single-center experience

Machuca, Tiago Noguchi; Cardoso, Paulo Francisco Guerreiro; Camargo, Spencer Marcantonio; Signori, Leonardo; Andrade, Cristiano Feijó; Moreira, Ana Luiza Schneider; Moreira, José da Silva; Felicetti, José Carlos; Camargo, José Jesus

doi:10.1016/j.lungcan.2010.01.015

« Previous Next »Lung Cancer
Volume 70, Issue 2 , Pages 158-162, November 2010

Surgical treatment of bronchial carcinoid tumors: A single-center experience☆

Division of Thoracic Surgery, Pavilhão Pereira Filho, Santa Casa de Porto Alegre; Department of Surgery, Federal University of Health Sciences of Porto Alegre and Postgraduate Program of Pulmonology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

Received 23 August 2009; received in revised form 19 January 2010; accepted 20 January 2010. published online 11 March 2010.

Abstract

Background

Bronchial carcinoid is an infrequent neoplasm with a neuroendocrine differentiation. Surgical treatment is the gold standard therapy, with procedures varying from sublobar resections to complex lung sparing broncoplastic procedures. This study evaluates the results of surgical treatment of bronchial carcinoids and its prognostic factors.

Patients and methods

Retrospective review of 126 consecutive patients who underwent surgical treatment for bronchial carcinoid tumors between December 1974 and July 2007.

Results

There were 70 females (55%) and the mean age was 46 years, ranging from 17 to 81 years. Upon clinical presentation, 38 patients (30%) have had recurrent respiratory tract infection, 31 (24%) cough, 16 (12%) chest pain and 25 (20%) were asymptomatic. Preoperative bronchoscopic diagnosis was obtained in 74 cases (58.7%). The procedures performed were: 19 sublobar resections (14,9%), 58 lobectomies (46%), 8 bilobectomies (6.3%), 6 pneumonectomies (4.7%), 2 sleeve segmentectomies (1.5%), 26 sleeve lobectomies (20.6%) and 9 bronchoplastic procedures without lung resection (7.1%). Operative mortality was 1.5% (n=2) and morbidity was 25.8% (n=32), including 12 respiratory tract infections and 4 reinterventions due to bleeding (3) and pleural empyema (1). Among the 112 patients available for follow-up, the overall survival at 3, 5 and 10 years was 89.2%, 85.5% and 79.8%, respectively. Five and 10-year survival for typical and atypical carcinoids were 91, 89% and 56, 47%, respectively. Overall disease-free survival at 5 years was 91.9% Statistical analysis showed that overall disease-free survival correlated with histology – typical vs. atypical – (p=0.04) and stage (p=0.02).