| Revista: | Revista del Instituto Nacional de Enfermedades Respiratorias |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000317199 |
| ISSN: | 0187-7585 |
| Autores: | Echegoyen Carmona, Rufino1 Mendoza Posada, Daniel Velázquez Manríquez, María Eugenia |
| Instituciones: | 1Instituto Nacional de Enfermedades Respiratorias, Servicio de Neumología Oncológica, México, Distrito Federal. México |
| Año: | 2008 |
| Periodo: | Abr-Jun |
| Volumen: | 21 |
| Número: | 2 |
| Paginación: | 107-113 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en español | presentaron desde la segunda década de la vida, no guardaron relación con el tabaquismo, y fueron más frecuentes en el sexo femenino. El diagnóstico temprano, las imágenes de TC y de la broncoscopía y la precisión histológica son importantes para tratar de efectuar resecciones pulmonares económicas. Es conveniente la resección de los NLM y su estudio histológico con el objeto de precisar la presencia de metástasis. La resección broncoscópica sólo está indicada cuando no se pueda efectuar una resección pulmonar limpia |
| Resumen en inglés | This is a retrospective study of carcinoid tumors of the lung diagnosed from 1997 to 2006 at the Ismael Cosío Villegas National Institute of Respiratory Diseases, a concentration hospital in México City, in order to evaluate possible differences between typical and atypical carcinoid. Results: We detected sixteeen carcinoid tumors, nine typical, and seven atypical. There were 14 females; 3 females were smokers in the typical group. The clinical course prior to presentation went from six months to four years for typical carcinoids and six months to three years for atypical carcinoids. The symptoms were cough, haemoptysis, thoracic pain, "asthma", recurrent pneumonia, weight loss, and respiratory insufficiency. One had tuberculosis and was treated before diagnosing the carcinoid. Chest X-rays showed pneumonia, atelectasis and tumor images. CT scans showed enlarged mediastinal lymph nodes (MLN) in six patients. Bronchoscopy and biopsy were diagnostic. Two cases were in the trachea; one was resected and end to end anastomosis performed, the other was resected with biopsy forceps; other procedures included two pneumonectomies, five bilobectomies, five lobectomies and one bronchial sleeve resection; one patient refused surgery. The 6 patients with enlarged MLN had mediastinal dissection; the nodes were negative. Discussion and conclusions: In our clinical material, the majority of carcinoids affect women; atypical carcinoids tend to occur in slightly younger people than typical cases. There was no relationship between tumors and smoking. Early clinical, imaging, bronchoscopic and pathologic diagnosis are important for early surgical resection and preservation of lung function; MLN should be routinely dissected, as in other cases of lung cancer. Broncoscopic resection is restricted to cases unable to undergo curative procedures |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Neumología, Oncología, Tumor carcinoide, Pulmones, Clasificación, Metástasis, Diagnóstico temprano |
| Keyword: | Medicine, Diagnosis, Oncology, Pneumology, Carcinoid tumor, Lungs, Classification, Metastasis, Early diagnosis |
| Texto completo: | Texto completo (Ver HTML) |
