Thorac Cardiovasc Surg 2010; 58(8): 500-502
DOI: 10.1055/s-0030-1250100
Case Reports/Thoracic

© Georg Thieme Verlag KG Stuttgart · New York

Resection of Giant Typical Carcinoid Tumor with Cardiopulmonary Bypass Support

L. Ampollini1 , P. Carbognani1 , M. Rusca1 , A. Bobbio1 , 2
  • 1Department of Surgical Sciences, Thoracic Surgery, University Hospital of Parma, Parma, Italy
  • 2Department of Thoracic Surgery, Hotel Dieu Hospital, Paris, France
Further Information

Publication History

received April 19, 2010

Publication Date:
25 November 2010 (online)

Abstract

Carcinoids, defined as well-differentiated neuroendocrine tumors, are classified as typical or atypical based on their microscopic pathological features. Typical carcinoids have a favorable prognosis after complete resection, with 10-year survival rates of up to 90 %. We present the surgical strategy used to achieve a left pneumonectomy and the indications for cardiopulmonary bypass (CPB) support in a patient with a huge typical carcinoid tumor.

References

  • 1 Arrigoni M G, Woolner L B, Bernatz P E. Atypical carcinoid tumors of the lung.  J Thorac Cardiovasc Surg. 1972;  64 413-421
  • 2 Travis W D, Rush W, Flieder D B et al. Survival analysis of 200 pulmonary neuroendocrine tumors with clarification of criteria for atypical carcinoid and its separation from typical carcinoid.  Am J Surg Pathol. 1998;  22 934-944
  • 3 Luckraz H, Amer K, Thomas L, Gibbs A, Butchart E G. Long-term outcome of bronchoscopically resected endobronchial typical carcinoid tumors.  J Thorac Cardiovasc Surg. 2006;  132 113-115
  • 4 Sheppard B B, Follette M D, Meyers J F. Giant carcinoid tumor of the lung.  Ann Thorac Surg. 1997;  63 851-852
  • 5 Watanabe Y, Ichihashi T, Iwa T. Median sternotomy as an approach for pulmonary surgery.  Thorac Cardiovasc Surg. 1988;  36 227-231
  • 6 Wiebe K, Baraki H, Macchiarini P, Haverich A. Extended pulmonary resections of advanced malignancies with support of cardiopulmonary bypass.  Eur J Cardiothorac Surg. 2006;  29 571-577
  • 7 Cooper J D, Nelems J M, Pearson F G. Extended indications for median sternotomy in patients requiring pulmonary resection.  Ann Thoracic Surg. 1978;  26 413-420
  • 8 Asaph J W, Handy J R, Grunkemeier G L et al. Median sternotomy versus thoracotomy to resect primary lung cancer: analysis of 815 cases.  Ann Thorac Surg. 2000;  70 373-379

Dr. Luca Ampollini

Thoracic Surgery
Department of Surgical Sciences
University Hospital of Parma

Via Gramsci 14

43126 Parma

Italy

Phone: +39 05 21 70 22 90

Fax: +39 05 21 70 35 59

Email: lampollini@ao.pr.it

    >