Salminen U S, Halttunen P, Miettinen M, Mattila S
Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Finland.
Scand J Thorac Cardiovasc Surg. 1990;24(1):27-32. doi: 10.3109/14017439009101819.
Pulmonary carcinoid tumor was surgically treated in 33 patients during a 22-year period. The tumor was polypoid and endobronchial in 19 (58%) of the patients. Conventional operation was required in 12 (63%) of the 19, viz. pneumonectomy (1), bilobectomy (1), lobectomy (9) or lingulectomy (1). In one of these 12 patients, metastasis to a salivary gland was found 15 years postoperatively, and to the mediastinum after 16 years. The other seven patients (5 female, 2 male) were treated with bronchoplasty, or with lobectomy and bronchial resection including bronchoplasty, to avoid more extensive pulmonary resection. All seven were recalled for follow-up examination 5 months to 10 years postoperatively. No recurrence or metastasis of the tumor was found, and spirometry and radiospirometry showed that the saved pulmonary tissue was functional.
在22年期间，33例患者接受了肺类癌肿瘤的手术治疗。19例（58%）患者的肿瘤呈息肉样且位于支气管内。这19例患者中有12例（63%）需要进行传统手术，即全肺切除术（1例）、双叶切除术（1例）、肺叶切除术（9例）或舌叶切除术（1例）。在这12例患者中的1例，术后15年发现唾液腺转移，术后16年发现纵隔转移。其他7例患者（5例女性，2例男性）接受了支气管成形术，或肺叶切除术及包括支气管成形术在内的支气管切除术，以避免更广泛的肺切除。所有7例患者均在术后5个月至10年被召回进行随访检查。未发现肿瘤复发或转移，肺活量测定和放射性肺活量测定显示保留的肺组织功能正常。
