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Official Journal of the Italian Society of Thoracic Endoscopy
Indexed/Abstracted in: EMBASE, Scopus
Online ISSN 1827-1723
Allidi F. 1, Picchi A. 1, Ribechini A. 1, Mussi A. 2
1 Thoracic Endoscopy Division, Cardio-Thoracic and Vascular Department, University of Pisa, Pisa, Italy;
2 Thoracic Surgery Unit, Cardio-Thoracic and Vascular Department, University of Pisa, Pisa, Italy
A 56-year-old man came to our observation with cough and dyspnea. Eight years before, he underwent surgery for a carcinoid tumor. After completing evaluation by computed tomography scan and bronchoscopy, he was suspected for an endobronchial relapse. Due to tecnical surgical limits, he was referred to our Unit to be evaluated for an endoscopic treatment. In order to avoid bleeding, the endobronchial lesion was previously treated by ultra-selective embolization in our Departmentof Radiology. Within the next 48 hours, we took the patient to the operatory room where he underwent combined bronchoscopy under general anesthesia. We removed the lesion by mechanical resection and completed the treatment by Nd:Yap photoresection. No hemorrhagic complications neither respiratory failure were observed during and after the procedure. The patient has been discharged in two days, after a bronchoscopic evaluation on day 1 which confirmed the complete removing of the lesion and no evidence of bleeding. The definitive pathological examination confirmed a typical carcinoid tumor, as eight years before. The bronchoscopic examination on day 15 after discharge showed a successful tumor eradicaton without macroscopic evidence of residual tumor and the patient appeared healthy with excellent vital signs.