Long-Term Follow-Up of Flexible Bronchoscopic Treatment for Bronchial Carcinoids with Curative IntentReportar como inadecuado

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Diagnostic and Therapeutic EndoscopyVolume 2009 2009, Article ID 782961, 4 pages

Clinical StudyThe Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqwa 34987, Israel

Received 12 September 2009; Accepted 6 December 2009

Academic Editor: Yuri Novitsky

Copyright © 2009 Leonardo Fuks et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Typical pulmonary carcinoids represent less than 5% of primary lung tumors. In patients with typical bronchial carcinoid, formal surgical resection still remains the gold-standard treatment. Data regarding long-term outcome in using flexible bronchoscope-based modalities under conscious sedation is very limited. Objectives. We sought to investigate, over extended follow-up period, the effectiveness of endobronchial resection for carcinoid tumors with curative intent using flexible bronchoscopy. Methods. Nd:YAG laser photoresection using flexible bronchoscope under conscioussedation. Follow-up included repeat bronchoscopy every 6 months and chest CT every year. Results. Ten patients aged 24 to 70 years with endobronchial carcinoid were treated. The tumor location was variable: 2 left Main bronchus, 1 left upper lobe bronchus, 2 right main bronchus, 2 right middle lobe bronchus and 3 right lower lobe bronchus. No major complications were observed. The patients required between 2 and 4 procedures. Patients were followed for a median period of 29 months with no evidence of tumor recurrence. Conclusions. Endobronchial laser photoresection of typical bronchial carcinoids using flexible bronchsocopy under conscious sedation is an effective treatment modality for a subgroup of patients that provides excellent long-term results that are similar to outcome obtained by more invasive procedures.

Autor: Leonardo Fuks, Oren Fruchter, Anat Amital, Benjamin D. Fox, Nader Abdel Rahman, and Mordechai R. Kramer

Fuente: https://www.hindawi.com/


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