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Acta Chir Belg ; 116(1): 44-7, 2016 Feb.
Article in English | MEDLINE | ID: mdl-27385141

ABSTRACT

Introduction Neuroendocrine tumors are rare bronchial carcinomata often presenting in a central airway. Resection usually includes a sleeve of the bronchus with the underlying lobe. Case report We present a 19-year old male with retro-obstructive pneumonia from a tumor in the right mainstem bronchus. Bronchoscopy showed an obstructive mass confirmed as being a typical carcinoid on biopsy. Sleeve resection of the mainstem bronchus only was successfully performed sparing the entire right lung. Discussion and conclusion This type of limited tumoral resection should be reserved for carefully selected patients with a low-grade neoplasm without extrabronchial extension and with both tumor-negative lymph nodes and bronchial margins on frozen section.


Subject(s)
Bronchial Neoplasms/surgery , Carcinoid Tumor/surgery , Laser Therapy/methods , Pneumonectomy/methods , Bronchial Neoplasms/diagnostic imaging , Bronchoscopy/methods , Carcinoid Tumor/complications , Carcinoid Tumor/diagnostic imaging , Disease Progression , Dyspnea/diagnosis , Dyspnea/etiology , Follow-Up Studies , Humans , Male , Pneumonia/diagnosis , Pneumonia/etiology , Positron-Emission Tomography/methods , Radiography, Thoracic/methods , Tomography, X-Ray Computed/methods , Treatment Outcome , Young Adult
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