Brochoscopic resection of tumours in the distal airways: the single centre experience

The resection of distal airways obstructing tumours is a traditional indication of therapeutic bronchoscopy. Lung cancer is the most frequent cause of the obstruction. Takeout procedures of the benign tumours, endobronchial carcinoids and endobronchial metastases are considerably less frequent. These tumours can be removed completely, some of them definitively. Present work analyses experience with these tumours in one tertiary bronchological centre. During the period from 1993 to 2018, 29.121 bronchoscopies were performed and 124 benign tumours, 19 typical carcinoids (G1 NET) and 35 endobronchial metastases were removed. Tumours were removed mechanically and/or by NdYAG laser. Only 3 benign tumours and 5 carcinoids were definitively resected surgically. In described groups, the demographic characteristics of patients, symptoms, histology and localisation of tumours, complications of procedures were evaluated. Median of age was 50.7 years, 45.1 years and 67.0 years, sex ratio men/women was 2.2, 1.1 and 2.2. The most frequent benign tumours were polyps (48.7 %), lipomas (13.7 %), hamartomas (11.8 %), papillomas (9.2 %), hemangiomas (5.0 %) and fibromas (2.5 %). The most frequent metastases were renal (42.3 %), colorectal (31 %), thyroid (11.5 %), breast (7.7 %) and uterine (7.7 %). All tumours were removed without major complications, bleeding was stopped endobronchially, pneumothorax (3 cases) and pneumomediastinum (1 case) did not need drainage. Median follow up of carcinoid...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research