肺カルチノイド切除例の臨床的検討

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  • Clinical characteristics of surgically-resected pulmonary carcinoid tumors

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We retrospectively analyzed 10 cases of pulmonary carcinoid tumor. Among them, 7 cases were diagnosed as having typical carcinoid (TC) and 3 cases were diagnosed with atypical carcinoid (AC) tumors. The mean age was 49.5 years and the patients included 6 males and 4 females. Only four cases were preoperatively diagnosed with a carcinoid; however, four cases were diagnosed with other pathological types of lung cancer. The following resections were performed: 2 pneumonectomies, 1 bilobectomy, 4 lobectomies, 1 segmentectomy, 1 partial resection, and 1 bronchoplasty. All patients with TC survived without recurrence, and, despite the development of recurrence, none of the patients with AC died due to a recurrence of the disease. The five-year survival rate of all carcinoid patients following resection was 62.5%. These data indicate that surgery which preserves the pulmonary function should therefore be considered for TC, and adjuvant therapy for AC should also be considered in order to improve the prognosis.

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