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13例支气管肺类癌患者的手术结果,其中包括1例复发性嗜酸细胞类癌肿瘤。

Surgical outcomes in 13 patients with bronchopulmonary carcinoid tumors including one recurrent oncocytic carcinoid tumor.

作者信息

Ueno Tsuyoshi, Maki Yuho, Sugimoto Ryujiro, Yamashita Motohiro, Nakata Kentaro, Sugawara Yoshifumi, Nishimura Rieko, Teramoto Norihiro

机构信息

Department of Thoracic Surgery, National Hospital Organization, Shikoku Cancer Center, 160 Minami-Umemoto, Matsuyama, 791-0280, Japan.

Department of Diagnostic Radiology, National Hospital Organization, Shikoku Cancer Center, Matsuyama, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2019 May;67(5):486-489. doi: 10.1007/s11748-018-0967-1. Epub 2018 Jul 3.

Abstract

INTRODUCTION

Bronchopulmonary carcinoids are low-grade tumors for which the standard treatment is surgical resection. We retrospectively evaluated the surgical outcomes.

METHODS

Thirteen patients underwent surgical resection for them at our institution between January 2005 and December 2016. We collected their clinicopathologic data to evaluate surgical outcomes.

RESULTS

The 13 patients comprised seven men and six women. Complete resection was performed in all cases. All the tumors were typical carcinoids, including one oncocytic carcinoid which showed highest fluorodeoxyglucose (FDG) uptake (SUVmax 45.7). The 5-year overall survival rates were 100%. The only patient with oncocytic carcinoid developed recurrence of liver metastasis 49 months after the primary lung resection. The metastasis showed low FDG uptake (SUVmax 2.8) and its histology was typical carcinoid and not oncocytic carcinoid.

CONCLUSION

Surgical outcomes in our patients were favorable. In oncocytic carcinoid, metastatic site may have a radiologic and histologic appearance different from the primary tumor.

摘要

引言

支气管肺类癌是低度恶性肿瘤,其标准治疗方法是手术切除。我们回顾性评估了手术结果。

方法

2005年1月至2016年12月期间,我们机构有13例患者因支气管肺类癌接受了手术切除。我们收集了他们的临床病理数据以评估手术结果。

结果

13例患者中男性7例,女性6例。所有病例均行根治性切除。所有肿瘤均为典型类癌,其中1例嗜酸细胞类癌的氟脱氧葡萄糖(FDG)摄取最高(最大标准化摄取值[SUVmax]为45.7)。5年总生存率为100%。唯一1例嗜酸细胞类癌患者在初次肺切除术后49个月出现肝转移复发。转移灶的FDG摄取较低(SUVmax为2.8),其组织学表现为典型类癌而非嗜酸细胞类癌。

结论

我们患者的手术结果良好。在嗜酸细胞类癌中,转移部位的影像学和组织学表现可能与原发肿瘤不同。

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