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Am J Surg. 2013 Feb;205(2):200-8. doi: 10.1016/j.amjsurg.2012.05.008. Epub 2012 Oct 11.

Surgical management of pulmonary carcinoid tumors: sublobar resection versus lobectomy.

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1
Department of Surgery, Division of Surgical Oncology, University of Louisville, KY 40202, USA.

Abstract

BACKGROUND:

Surgical resection of bronchopulmonary carcinoid tumors can be curative and remains the primary treatment modality. There are limited data to delineate the optimal extent of resection for this disease.

METHODS:

A retrospective review of the 3,270 patients diagnosed with typical and atypical carcinoid tumors between 2000 and 2007 in the Surveillance Epidemiology and End Results registry was performed.

RESULTS:

The mean follow-up period was 46 months (range, 1-95 mo). Overall survival (OS) and disease-specific survival at 5 years was 80% and 90%, respectively. The mean OS was slightly better in the lobectomy group compared with those undergoing sublobar resection (86 vs 83 mo; P = .008). After adjusting for age, this finding was no longer present (P = .513). By using multivariate analysis, sublobar resection was noninferior to lobectomy with regard to disease-specific survival and OS (P < .05).

CONCLUSIONS:

Compared with lobectomy, sublobar resection is associated with noninferior survival in patients with typical carcinoid of the lung.

PMID:
23063095
DOI:
10.1016/j.amjsurg.2012.05.008
[Indexed for MEDLINE]
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