[ management of bronchial carcinoid]

ABSTRACT

Bronchial Carcinoid tumors account 1-2% for all lung malignancies, and [WHO] described two different groups of carcinoid tumors typical carcinoid [TC] and atypical carcinoid [AC]. This study demonstrates the experience of Alassad university hospital in Damascus with patients treated surgically for typical and atypical carcinoid tumors of the Lung. We retrospectively reviewed data of 60 patient who underwent surgery for carcinoid tumor from [1993-2010] in the department of thoracic surgery in Alassad university hospital, Several variables were reviewed in all patient. There were 60 cases of pulmonary carcinoid tumors 53 typical carcinod 88.33% and 7 atypical 11.66%. There were 22 female 36.66% and 38 male 63.33% with median age of 42 years, and the ratio of carcinoid tumors to other primary lung cancer was 3,3%. Surgery consisted of 39 formal lung resection 19 lobectomies 31.66%, 12 bilobectomies 20%, 9 pneumonectomy 15%,18 sleeve or bronchoplastic resection 30%.there were lymph node involvement in 9 patients 16%, 7 ipsilateral hilar lymph -nodes N1 and 2 ipsilateral mediastinal lymph node N2. No perioperative mortality occurred, and the overall 5 year survival was 100%. Pulmonary carcinoid is an uncommon tumor, and typical carcinoid is more common than atypical, Parenchyma-sparing procedures are the treatment of choice with excellent long term survival.