Source: Annual Congress 2002 - Lung cancer: epidemiology and clinical characteristics

Abstract

Objectives: Recognize the profile of patients with pulmonary carcinoid admitted to our unit. Evaluate outcome.
Methods: Retrospective analysis of clinicopathologic data and outcome of patients from a central hospital in the last 16 years (from 1985 to 2001).
Results: We found 2567 cases of lung tumours from 1985 to 2001. The pulmonary carcinoids were 0,86% (n=22): typical (n=10) and atypical (n=12). The ratio of female to male was 1,2/1 with a mean age of 51,3±]15,5 years. We found 40% of smokers in the typical group (n=4) and 33% in the atypical (n=4). Cough was the most frequent clinical presentation (41%)(n=9) followed by pleuritic pain, hemoptysis and dyspneia (27% each). Concerning radiology 55% of cases (n=12) had a mass. In the typical group they were central (with rigth predominance) in 80% (n=8) and in the atypical group they were peripherical (with left predominance) in 63% (n=5). Bronchial obstruction was present in 41% of cases (n=9). Diagnosis was made using bronchoscopy in 36% of patients and thoracotomy in 59%. We found 14% of patients (n=3) that were staged as III-B or IV. Carcinoid syndrome occurred in only 1 case who presented hepatic metastases on recurrence. The treatment was surgery in 82% of cases (n=18). Five patients died and the survival rate was 23,1±]27,2 months. Thirteen are alive (with a minimum and maximum folow up time of 6 and 92 months) and 4 were lost for follow up.
Conclusions: Pulmonary carcinoid is a rare tumour with a reasonable prognosis and the treatment of choice is surgery.

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Citations should be made in the following way:
R. Sotto-Mayor, R. Melo, E. Teixeira, A. Bugalho de Almeida (Lisbon, Portugal). Clinical features and outcome of pulmonary carcinoid - a 16 years review. Eur Respir J 2002; 20: Suppl. 38, 579

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