Gyltnes A
Lungeseksjonen, Medisinsk avdeling, Regionsykehuset, Tromsø.
Tidsskr Nor Laegeforen. 1992 May 10;112(12):1579-81.
A total of seven patients with bronchial carcinoids were treated at our hospital during the period from 1975 to 1991. Debut of symptoms varied from eight months to ten years before diagnosis. Cough, copious mucus, hemoptysis and recurrent lobar pneumonias were common. Six tumours were identified by chest X-ray. All tumours were visualised bronchoscopically; five showed as cherry-red polypoid tumours, one as a necrotising tumour and one as a stenosis of the bronchus. One patient underwent pneumonectomy, three lobectomy, one bilobectomy, one segment resection and one sleeve resection and lobectomy combined. Two cases were complicated by empyema and one was not radically operated due to impaired cardiopulmonary function. None showed carcinoid syndrome. All patients are still alive, and no recurrences or metastases have appeared.
1975年至1991年期间,我院共治疗了7例支气管类癌患者。症状首次出现至诊断的时间从8个月到10年不等。咳嗽、大量黏液、咯血和反复肺叶肺炎较为常见。6例肿瘤通过胸部X线确诊。所有肿瘤均经支气管镜检查可见;5例表现为樱桃红色息肉样肿瘤,1例为坏死性肿瘤,1例为支气管狭窄。1例患者接受了全肺切除术,3例接受了肺叶切除术,1例接受了双叶切除术,1例接受了肺段切除术,1例接受了袖状切除术并联合肺叶切除术。2例并发脓胸,1例因心肺功能受损未行根治性手术。均未出现类癌综合征。所有患者均存活,未出现复发或转移。