Pier Luigi Filosso1, Francesco Guerrera1, Pascal Thomas2, Alessandro Brunelli3, Eric Lim4, Mariano Garcia-Yuste5, Hisao Asamura6, Konstantinos Papagiannopoulos3, Inderpal Sarkaria7, Federico Venuta8. 1. Department of Thoracic Surgery, San Giovanni Battista Hospital, University of Torino, Italy. 2. Department of Thoracic Surgery, North University Hospital, University of the Mediterranean, & University Hospital System of Marseille, Marseille, France. 3. St James University Hospital, Department of Thoracic Surgery, Leeds, UK. 4. Royal Brompton Hospital, London, UK. 5. Department of Thoracic Surgery, University Hospital, Valladolid, Spain. 6. Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan. 7. UPMC/University of Pittsburgh Schools of the Health Sciences, Pittsburgh, PA, USA. 8. University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Policlinico Umberto I, Rome, Italy.
Abstract
OBJECTIVE: This study aims to assess the international practice of management of bronchial carcinoids. MATERIALS & METHODS: A survey designed by the Neuroendocrine Tumors of the Lung Working Group, was conducted among the members of the European Society of Thoracic Surgeons. RESULTS: A total of 172 centers worldwide replied to the questionnaire. General agreement was observed concerning the use of anatomic resections and parenchyma-sparing surgery, the importance of lymphadenectomy, the adjuvant regimens in N(+) atypical carcinoids and the role of surgery for local recurrences. Controversies emerged in the use of nuclear medicine imaging and measurement of serum markers and on the timing of follow-up. CONCLUSION: This survey provides the largest international overview of the current practice in the management of bronchial carcinoids and identifies discrepancies that could be the focus of future investigations.
OBJECTIVE: This study aims to assess the international practice of management of bronchial carcinoids. MATERIALS & METHODS: A survey designed by the Neuroendocrine Tumors of the Lung Working Group, was conducted among the members of the European Society of Thoracic Surgeons. RESULTS: A total of 172 centers worldwide replied to the questionnaire. General agreement was observed concerning the use of anatomic resections and parenchyma-sparing surgery, the importance of lymphadenectomy, the adjuvant regimens in N(+) atypical carcinoids and the role of surgery for local recurrences. Controversies emerged in the use of nuclear medicine imaging and measurement of serum markers and on the timing of follow-up. CONCLUSION: This survey provides the largest international overview of the current practice in the management of bronchial carcinoids and identifies discrepancies that could be the focus of future investigations.
Entities:
Keywords:
bronchial carcinoid; chemotherapy; lung; neuroendocrine tumor; practice survey; radiotherapy; surgery