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Ismail Cüneyt Kurul
Güven Çetin
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Eur J Cardiothorac Surg 1998;14:575-577
© 1998 Elsevier Science NL


Long-term survival following bronchotomy for polypoid bronchial carcinoid tumours

Abdullah Irfan Tastepe, Ismail Cüneyt Kurul, Sedat Demircan, Serife Tuba Liman, Sadi Kaya, Güven Çetin

Atatürk Centre for Chest Disease and Thoracic Surgery, Ankara, Turkey

Received 23 March 1998; received in revised form 20 July 1998; accepted 15 September 1998.

Corresponding author. Atatürk Gögüs Hastaliklari ve Gögüs Cerrahisi Merkezi, Gögüs Cerrahisi Klinigi 06280 Keçiören, Ankara, Turkey.

Objective: Typical bronchial carcinoids are very low grade neuroendocrine neoplasm of the tracheobronchial tree and have very good results in surgical treatment. Surgical treatment varies from bronchotomy-excision to major resective procedures. We presented our results of bronchotomy, simple excision and long-term follow-up. Methods: In Atatürk Centre for Chest Disease and Chest Surgery, 16 patients with bronchial carcinoid tumour underwent bronchotomy-excision over a 23-year-period. In all of the cases tumours were in polypoid type. Except these 16 cases 51 patients with bronchial carcinoids underwent operations in the same period. Presenting symptoms were haemoptysis, cough, recurrent pulmonary infection, dyspnea and chest pain. Rigid bronchoscopies were performed on all of the patients preoperatively for diagnosis of the tumour and to determine the surgical procedure and we performed control bronchoscopies on all of the patients in their follow-up period. Results: Patients were checked for periods ranging from 2 to 23 years both radiologically and bronchoscopically. We did not find any recurrences and death related to surgery and morbidity rate were minimal. Conclusion: We think that bronchotomy and simple excision are effective and safe procedures for the treatment of bronchial carcinoid tumours with low morbidity in selected cases like polypoid type lesions and have as good a long-term survival rate as the other surgical treatment methods have.

Key Words: Polypoid • Carcinoid • Bronchotomy • Excision




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