Typical Carcinoid Involving the Main Carina Managed With Arterial Embolisation, Endobronchial Resection and Ablation, Ultimately Followed by Carinal Resection

BMJ Case Rep. 2017 Sep 28;2017:bcr2017221800. doi: 10.1136/bcr-2017-221800.

Abstract

Bronchial carcinoids are uncommon pulmonary tumours, and the gold standard management is surgical resection. Their management is often complicated by their proximal location and propensity to bleed when manipulated. A 22-year-old man was found to have typical carcinoid tumour involving the carina and surgical resection was considered not feasible. We report our experience with a multimodality approach involving arterial embolisation, with subsequent endobronchial resection and ablation. Residual disease was found and managed with definitive carinal resection.

Keywords: endocrine cancer; interventional radiology; lung cancer (oncology); surgical oncology.

Publication types

  • Case Reports

MeSH terms

  • Ablation Techniques / methods*
  • Bronchial Neoplasms / therapy*
  • Bronchoscopy / methods*
  • Carcinoid Tumor / therapy*
  • Embolization, Therapeutic / methods*
  • Humans
  • Male
  • Trachea / surgery
  • Young Adult