Tan Michael W Y, Leong Paul, Antippa Phillip, Jennings Barton R
Department of Monash Lung and Sleep, Monash Health, Clayton, Victoria, Australia.
Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Parkville, Victoria, Australia.
BMJ Case Rep. 2017 Sep 28;2017:bcr-2017-221800. doi: 10.1136/bcr-2017-221800.
Bronchial carcinoids are uncommon pulmonary tumours, and the gold standard management is surgical resection. Their management is often complicated by their proximal location and propensity to bleed when manipulated. A 22-year-old man was found to have typical carcinoid tumour involving the carina and surgical resection was considered not feasible. We report our experience with a multimodality approach involving arterial embolisation, with subsequent endobronchial resection and ablation. Residual disease was found and managed with definitive carinal resection.
支气管类癌是罕见的肺部肿瘤，其金标准治疗方法是手术切除。由于其位置靠近近端且在操作时容易出血，其治疗往往很复杂。一名22岁男性被发现患有累及隆突的典型类癌肿瘤，手术切除被认为不可行。我们报告了我们采用多模态方法的经验，包括动脉栓塞，随后进行支气管内切除和消融。发现有残留病灶，并通过确定性隆突切除进行处理。
