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Philip E. Bernatz
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Ann Thorac Surg 1976;22:270-277
© 1976 The Society of Thoracic Surgeons

Articles

Carcinoid Tumors of the Lung

Nsidinanya Okike, M.D.*, Philip E. Bernatz, M.D., Lewis B. Woolner, M.D.

Mayo Clinic and Mayo Foundation, Rochester, MN.

* Address reprint requests to Dr. Okike, c/o Section of Publications, Mayo Clinic, 200 First St SW, Rochester, MN 55901.

Resection of typical bronchial carcinoid was carried out in 203 patients. The average age was 48 years, and the sex distribution was approximately equal. Bronchoscopy was the most definitive diagnostic procedure, even though 15% of the tumors were located in the segmental bronchus or beyond. Conservative resection including local removal of the lesion was the treatment of choice, but distal suppuration and location of the tumor necessitated pneumonectomy in 54 (27%) of the patients. The incidence of metastasis was 5% (11 patients), and the overall hospital mortality was 3%. Of patients who qualified for follow-up, 94% survived 5 years, and of those who were asymptomatic preoperatively, 98% survived 5 years. The 10- and 25-year survival rates for the group as a whole were 87 and 66%, respectively.




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