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Vol.43 No.3 contents | Japanese/English |
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- Case Report -
A Case of Intraluminal Typical Bronchial Carcinoid Treated by Bronchoscopy
Tatsu Miyoshi1,2, Sakae Okumura1, Yukitoshi Satoh1,2, Yuichi Ishikawa2, Ken Nakagawa11Department of Chest Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Japan, 2Department of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, Japan
Background. Although surgical resection is the first choice of treatment for bronchial carcinoid, the usefulness of bronchoscopic treatments such as laser coagulation, photodynamic therapy, and electrocautery for intraluminal typical bronchial carcinoid (ITBC) has been reported in recent years. We present a case of ITBC treated by bronchoscopy. Case. The patient was a 75-year-old man with dyspnea on effort. Bronchofiberscopic examination showed an 8-mm-sized, asessile intraluminal tumor at the orifice of the left upper lobar bronchus, which was histologically confirmed to be typical carcinoid. Since he refused conventional surgical resection, bronchoscopic resection was performed with the understanding of the possibility that some tumor might remain. Snare polypectomy followed by endoscopic diode laser coagulation was performed. Four years and six months after the treatment, he is well without any evidence of local recurrence. Conclusion. Bronchoscopic resection may be one option for curative treatment of ITBC, substituting for surgical resection.
key words: Intraluminal typical bronchial carcinoid (ITBC), Bronchoscope, Bronchoscopic resection
Received: February 3, 2003
Accepted: April 2, 2003
JJLC 43 (3): 279-283, 2003
