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Ann Thorac Surg 2004;78:1093-1095
© 2004 The Society of Thoracic Surgeons

Case report

Sleeve resection of a transcarinal bronchial carcinoid after laser debulking

Matthew R. Mulloy, MDa, Charles Anderson, MDa, Oliver Lao, MSa, Darryl Weiman, MDa,*

a Departments of Cardiothoracic Surgery and Surgery, University of Tennessee–Memphis Health Sciences Center, Memphis, Tennessee, USA

Accepted for publication June 25, 2003.

* Address reprint requests to Dr Weiman, Department of Surgery, University of Tennessee–Memphis Health Sciences Center, 956 Court Ave, Suite G212, Memphis, TN, USA 38163
dweiman{at}utmem.edu

We report a case of a bronchial carcinoid tumor extending from the right upper lobe into the left mainstem bronchus in a 30-year-old woman. Diagnosis was established by preoperative bronchoscopy and biopsy. After extensive debulking with seven sessions of bronchoscopic neodymium:yttrium-aluminum-garnet laser therapy, the tumor was resected by right upper-lobe sleeve lobectomy. Final pathology revealed a typical carcinoid tumor with surgical margins and all lymph nodes free of tumor.






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