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Ann Thorac Surg 2006;82:2265-2266
© 2006 The Society of Thoracic Surgeons
a Hôpital Européen Georges Pompidou, Thoracic Surgery Department, Paris V University, Paris, France
b Hospital das Clinicas Thoracic Surgery Department, São Paulo University Medical School, São Paulo, Brazil
Accepted for publication May 3, 2006.
* Address correspondence to Dr Riquet, Paris University, Hopital Européen Georges Pompidou, Thoracic Surgery Department, 20-40 rue Leblanc, Cedex 15, 75908 Paris. (Email: marc.riquet{at}hop.egp.ap-hop-paris.fr).
Bronchopulmonary typical carcinoid tumors (BTCT) are neuroendocrine neoplasms with histologic low grade characteristics considered benign. However, despite reassuring histologic classification, some of them demonstrate an aggressive nature and metastastic behavior. During a not yet concluded study aiming at establishing criteria to predict this metastatic behavior, three uncommon cases were observed. Metastasis occurred despite typical carcinoid microscopic features in 3 female patients of African origin presenting at macroscopic examination as ramifying bronchopulmonary typical carcinoid tumors following the bronchial tree. We suggest that clinical ramifying presentation may be related to metastatic behavior, even for bronchopulmonary typical carcinoid tumors not displaying histologic criteria for atypical carcinoid tumors.
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