An atypical lung carcinoid tumor resected after induction therapy with involvement of the superior sulcus region: report of a case.

Abstract

This report presents a case of lung carcinoid tumor that showed a growth pattern similar to that of a superior sulcus tumor (SST). A 63-year-old man was referred to our hospital and was diagnosed to have a stage IV (T3N2M1) SST on his right side. After three cycles of induction therapy with MVP (methotrexate/vinblastine/prednisolone) and a total dose of 45 Gy radiation given to the chest lesion, the clinical stage was restaged down to IIB (T3N0M0). A salvage operation was performed (upper lobectomy plus chest wall combined resection including the first to fourth ribs) followed by targeting adjuvant brachytherapy. The results of a histologic examination of the resected specimen revealed the tumor to be an atypical carcinoid tumor.

• Authors: Yasuhiko Ohta, Arinori Toda, Naohiro Ohta, Makoto Oda, Hiroshi Minato, Akitaka Nonomura, Go Watanabe
• Journal: Surgery today (Surg Today) Vol. 32 Issue 7 Pg. 632-4 ( 2002) ISSN: 0941-1291 [Print] Japan
• PMID: 12111522 (Publication Type: Case Reports, Journal Article)

Topics

• Antineoplastic Combined Chemotherapy Protocols (therapeutic use)
• Brachytherapy
• Carcinoid Tumor (drug therapy, pathology, radiotherapy)
• Combined Modality Therapy
• Humans
• Lung Neoplasms (drug therapy, pathology, radiotherapy)
• Male
• Middle Aged
• Pneumonectomy
• Radiotherapy, Adjuvant
• Salvage Therapy