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European Journal of Cardio-Thoracic Surgery, Vol 7, 8-11, Copyright © 1993 by European Association for Cardio-thoracic Surgery
P Vadasz, G Palffy, M Egervary and Z Schaff
Clinical and pathological review is presented of 120 patients operated on
for bronchial carcinoid tumors between 1976 and 1986. The usual oncologic
features were analyzed. The Grimelius reaction, immunohistochemical
staining for neuron specific enolase (NSE), serotonin and chromogranin, and
DNA-analysis by flow cytometry were performed in these tumors and in small
cell lung cancers (SCLC). In our experience the usual oncologic
criteria--atypia, tumor-size, localization, history and regional lymph node
metastasis--fail to give clear information for the prognosis. The Grimelius
reaction has no significant differential diagnostic importance.
Immunostaining for NSE can aid in distinguishing between neuroendocrine and
non-neuroendocrine pulmonary tumors. The carcinoids and SCLCs could be
differentiated by immunostaining for chromogranin and by flow cytometry but
none of these methods are suitable for differential diagnosis within the
carcinoid group. Resection by thoracotomy is the only treatment of choice:
it can provide an excellent result (the 5-year survival rate is above 90%)
with a low hospital mortality (0.8%). Parenchyma-sparing resections are to
be encouraged.
ARTICLES
Diagnosis and treatment of bronchial carcinoid tumors: clinical and pathological review of 120 operated patients
Thoracic Surgical Clinic, Koranyi Institute and Postgraduate Medical School, Budapest, Hungary.
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