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[Bronchial carcinoid tumors. Analysis of 41 cases]. / Tumores bronquiales carcinoides. Análisis de 41 casos.
Gómez, A; Zalacain, R; Cabriada, V; López, L; Cancelo, L; Jaca, C.
Afiliación
  • Gómez A; Servicio de Neumología, Hospital de Cruces, Vizcaya.
Rev Clin Esp ; 204(4): 202-5, 2004 Apr.
Article en Es | MEDLINE | ID: mdl-15104929
OBJECTIVE: The objective of this study has been the description of the cases of carcinoid tumor diagnosed in our Pneumology Service along the last 15 years. METHODS: The study has been conducted retrospectively, including the period between January 1, 1987 and December 31, 2001. The clinical histories of all patients with a diagnosis of carcinoid tumor have been reviewed, collecting the demographic clinical, radiological, bronchoscopic, therapeutic, and evolutionary data. RESULTS. On the whole, 41 cases were diagnosed, 36 typical (88%) and 5 atypical (12%), representing 2% of the total of lung neoplasms. The average age was 50 years, and 66% patients were males, with 61% of smokers and ex-smokers. The most relevant clinical parameter was cough with 68% of cases. Chest X-ray was pathological in 88% and CAT in 100%. Bronchoscopy was done in 40 patients, being the localization of the tumor peripheral in 10% and central in 90%. In 37.5% the classical endoscopic image suggestive of this tumor was observed. The definitive diagnosis was obtained in 26 cases by bronchial biopsy, in 14 cases through thoracotomy, and in 1 case by CAT-guided fine-needle aspiration biopsy. Surgical treatment was carried out in 36 patients (88%). Five year follow-up has been completed in 16 (39%) patients, with 5 recurrences (2 local and 3 systemic). Five patients were lost for follow-up (12%), and in the 20 patients remaining (49%) the evolution is less than 5 years, with no recurrences up to now. There has not been any death. CONCLUSIONS: We conclude that carcinoid tumors are infrequent, most of them central in location, and are diagnosed preferably by bronchoscopy, although the number of cases with suggestive findings is less than 50%. The treatment is surgical except for contraindications, and the percentage of recurrences has been limited.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de los Bronquios / Tumor Carcinoide Tipo de estudio: Observational_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Clin Esp Asunto de la revista: MEDICINA Año: 2004 Tipo del documento: Article Pais de publicación: España
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de los Bronquios / Tumor Carcinoide Tipo de estudio: Observational_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: Es Revista: Rev Clin Esp Asunto de la revista: MEDICINA Año: 2004 Tipo del documento: Article Pais de publicación: España