• Pattabhiraman Vallandaramam, Arjun Srinivasan, and Mahadevan Sivaramakrishnan.
• Chest. 2014 Mar 1;145(3 Suppl):484A.

Session TitleBronchoscopy and Interventional Procedures PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Endobronchial carcinoids are rare forms of primary lung tumors. Traditional management of these tumors has been surgery however rigid bronchoscopic resection can avoid or limit extent of surgery in a subset of these patients.MethodsMedical records were retrospectively reviewed for all patients of bronchial carcinoid who underwent rigid bronchoscopy between 2011 and 2013.ResultsNine patients (6 males and 3 females) with a mean age of 47.5 years (range 31-68) of endobronchial carcinoid were taken up for rigid bronchoscopy. Seven of nine patients had tumors seen in mainstem bronchus (4 left main and 3 right main) and right intermediate bronchus in two patients.Three patients (33.3%) had no extraluminal component (2 typical and 1 atypical) and electrocautery snare ensured complete removal and have not had recurrence after mean follow up of 23.3 months (range 14-28). Six patients (66.6%) had significant extraluminal component or residual intraluminal disease (3 typical and 3 atypical) after rigid bronchoscopy and were advised surgery. In two of these patients rigid bronchoscopy ensured lobe-sparing surgery and in one made pneumonectomy possible. Two patients refused surgery (1 typical and 1 atypical) and have not progressed after mean follow up of 6 months (range5-7) and one patient was lost to follow up.ConclusionsRigid bronchoscopy plays a vital role in diagnosis and management of endobronchial carcinoid tumors irrespective of histology and presence of extraluminal component. It can at best avoid surgery but more often limits extent of surgery.Clinical ImplicationsRigid bronchoscopy and debulking should be considered in all patients of endobronchial carcinoid especially those with limited pulmonary reserve before subjecting them to surgery.DisclosureThe following authors have nothing to disclose: Pattabhiraman Vallandaramam, Arjun Srinivasan, Mahadevan SivaramakrishnanNo Product/Research Disclosure Information.

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