Surgical treatment for bronchopulmonary carcinoid
- 作者: Biryukov Y.V1, Parshin VD1, Mirzoyan OS1, Biryukov Y.V1, Parshin VD1, Mirzoyan OS1
-
隶属关系:
- 期: 卷 16, 编号 4 (2011)
- 页面: 14-18
- 栏目: Articles
- ##submission.dateSubmitted##: 22.07.2020
- ##submission.datePublished##: 15.08.2011
- URL: https://rjonco.com/1028-9984/article/view/39862
- DOI: https://doi.org/10.17816/onco39862
- ID: 39862
如何引用文章
全文:
详细
Surgical treatment was performed in 286 patients with lung cancer. The final morphological study diagnosed typical and atypical carcinoid tumors in 258 (90.2%) and 28 (9.8%) patients, respectively. The central and peripheral tumor sites were established in 245 (85.7%) and 41 (14.3%) patients, respectively. According to disease stage, the patients were distributed as follows: Stage I in 166 patients, Stage II in 84, Stage III in 30, and Stage IV in 6. Five (1.7%) patients were found to have carcinoid syndrome: the tumor had the morphological structure of atypical and typical carcinoid tumors in 3 and 2 patients, respectively. One patient with typical carcinoid was observed to have carcinoid syndrome concurrent with the Itsenko-Cushing syndrome. Two patients with carcinoid syndrome were ascertained to have hepatic metastases; these patients were recognized to be inoperable. The basic type of surgical intervention for typical carcinoid tumors was an organ-saving operation: lobectomy, bilobectomy, reconstructive plastic surgery, precision removal, and segmental resection. Only 7 patients underwent endoscopic removal of typical carcinoid tumors. In atypical carcinoid tumors, the surgical volume depends on the specific features of the extent of a tumor and the presence or absence of metastases. Pneumonectomy with lymphadenectomy and lobectomy in combination with and without bronchial resection were performed in half the cases. The long-term results of radical surgical treatment in patients with bronchopulmonary carcinoid tumors suggest that these operations are warranted.
参考
- Бебезов Б. Х. Карциноидные опухоли легкого (клиника, диагностика, хирургическое лечение и прогноз): Автореф. дис. ... канд. мед. наук. - М., 1998.
- Бирюков Ю. В. Аденомы бронхов и их хирургическое лечение: Дис. ... канд. мед. наук. - М., 1968.
- Бирюков Ю. В. Бронхолегочные карциноиды. - М., 2000.
- Богуславский В. М. Карциноидные опухоли легких: Автореф. дис. ... канд. мед. наук. - М., 1987.
- Давыдов М. И., Полоцкий Б. Е., Смирнова Е. А. и др. // Вестн. Моск. онкол. об-ва. - 2010. - № 11. - С. 3-4.
- Тер-Ованесов М. Д., Полоцкий Б. Е. // Практ. онкол. - 2005. - Т. 6, № 4. - С. 220-226.
- Трахтенберг А. Х., Чиссов В. И. Рак легкого. - М., 2009.
- Трахтенберг А. Х., Франк Г. А., Пикин О. В. и др. // Вестн. Моск. онкол. об-ва. - 2010. - № 11. - С. 2-3.
- Eljamal M., Goldstraw P. // Торакальная хирургия: Сборник науч. трудов. - Кировоград, 2010. - Вып. 1, ч. 1. - С. 7.
- Todd T. R., Cooper J. D., Weissberg D. // J. Thorac. Cardiovasc. Surg. - 1980. - Vol. 79. - P. 532-536.
- Vadesz P., Palffy G., Egervary M., Schaff Z. // Eur. J. Cardiothorac. Surg. - 1993. - Vol. 7. - P. 8.
- Wilkins E. W., Grillo Y. C., Moncure A. C., Scannell J. G. // Ann. Thorac. Sur. - 1984. - Vol. 38. - P. 339-344.
补充文件
