Abstract

FUENTES VALDES, Edelberto  and  CORONA MANCEBO, Sixto B. Tumores carcinoides del pulmón. Rev Cubana cir [online]. 2000, vol.39, n.2, pp. 115-123. ISSN 1561-2945.

The results of the surgical treatment and of the survival of 26 patients operated from carcinoid tumors of the lung and followed from 6 months to 12 years are presented in this paper. Twenty one patients (80.8 %) were clasified as typical and 5 (19.2 %) as typical. The average age for the former group was 45.2 years and of the latter 60.2 years. Thirteen patients were males and and 13 females. 57.2 % of tumors were centrally positioned. The most frequent related sysmptom were cough, fever, dyspnes and for chest pain. Only 2 patients were diagnosed as asymptomatic. One female patient showed 3 synchronic tumors: a liposarcoma in her back, one adenocarcinoma in the right colon and an atypical carcinoid tumor in the lung. Two conservative resections were applied to the patients whereas ten cases were treated with pneumectomy, 12 patients with lobectomy and other two with bilobectomy. There was no postoperative death; however 2 people died from causes related to a tumoral relapse. The female patient with 3 tumors died one year after the surgery, but it was impossible to determine the cause of her death. The six patients who had survived for over 10 years after their surgeries were still alive at the closing of this study except for 2 who had died from some problems not related to tumors; one of them after 9 years of having been operated on. Of 19 patients with 5 year or more follow-up, only 2 had died as a result of a tumor, which represents a global survival rate of 89.5 %. The survival rate for typical tumors reached 93.8 % and for atypical 75 %

Keywords : CARCINOID TUMOR [surgery]; LUNG NEOPLASMS [surgery].

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