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[肺、支气管和气管类癌肿瘤的手术治疗]

[Surgery for carcinoid tumor of lungs, bronchi and trachea].

作者信息

Parshin V D, Rusakov M A, Parshin A V, Zulufova I D

机构信息

Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2021(9):5-11. doi: 10.17116/hirurgia20210915.

Abstract

OBJECTIVE

To analyze the long-term outcomes of local resections in patients with carcinoid tumors of bronchopulmonary system.

MATERIAL AND METHODS

There were 52 patients with tracheal and bronchopulmonary carcinoid for the period 2013-2019. The sample included 21 men and 31 women. Age of patients ranged from 20 to 82 years (mean 62 years). Typical carcinoid was diagnosed in 34 cases, atypical carcinoid - in 18 cases. Central tumor was diagnosed in 26 patients. Tracheal neoplasm was found in 2 patients. Another patient had mediastinal tumor. Five patients underwent resection with broncho- or tracheobronchoplastic reconstruction.

RESULTS

Surgical approach for carcinoid is determined by its differentiation, localization and lung tissue lesion following a long-standing tumor. These operations are quite safe. Complications occurred after 4 (7.7%) surgeries. Long-term results were followed-up for the period from 8 months to 7 years. There were no signs of recurrence and disease progression after organ-sparing bronchial resection. Local resection with bronchoplasty is advisable for typical carcinoid.

摘要

目的

分析支气管肺系统类癌患者局部切除的长期疗效。

材料与方法

2013年至2019年期间,共有52例气管和支气管肺类癌患者。样本包括21名男性和31名女性。患者年龄在20至82岁之间(平均62岁)。典型类癌诊断34例,非典型类癌18例。26例患者诊断为中央型肿瘤。2例患者发现气管肿瘤。另1例患者有纵隔肿瘤。5例患者接受了支气管或气管支气管成形重建切除术。

结果

类癌的手术方式取决于其分化程度、部位以及长期肿瘤后的肺组织病变情况。这些手术相当安全。4例(7.7%)手术后出现并发症。长期结果随访时间为8个月至7年。保留器官的支气管切除术后无复发和疾病进展迹象。对于典型类癌,建议行支气管成形术的局部切除术。

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