Pont Bert Du, Decaluwé Herbert, Van Raemdonck Dirk
a Department of Thoracic Surgery , University Hospitals Leuven , Leuven , Belgium.
Acta Chir Belg. 2016 Feb;116(1):44-7. doi: 10.1080/00015458.2015.1136490.
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.
引言 神经内分泌肿瘤是一种罕见的支气管癌,常出现在中央气道。手术切除通常包括带有其下方肺叶的一段支气管袖。病例报告 我们报告一名19岁男性,因右主支气管肿瘤导致阻塞性肺炎。支气管镜检查显示有一阻塞性肿物,活检证实为典型类癌。仅对主支气管进行了袖状切除术,成功保留了整个右肺。讨论与结论 这种有限的肿瘤切除术应仅适用于经过精心挑选的患者,这些患者肿瘤分级低,无支气管外扩展,且冰冻切片显示淋巴结和支气管切缘均无肿瘤。