Endobronchial Treatment of Bronchial Carcinoid in the Elderly
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PULMONOLOGY AND RESPIRATORY CARE (D BREEN, SECTION EDITOR)
Endobronchial Treatment of Bronchial Carcinoid in the Elderly Johannes M. A. Daniels 1 & Ellen M. B. P. Reuling 2 & C. Dickhoff 2 Published online: 19 August 2020 # The Author(s) 2020
Abstract Purpose of the Review Although surgical resection is considered the gold standard of curative treatment for bronchial carcinoid, endobronchial treatment (EBT) can serve as a less invasive curative or palliative treatment in a selection of patients. It is unclear whether elderly patients with bronchial carcinoid should be treated in the same way as younger patients. In order to study the characteristics and treatment of elderly patients with bronchial carcinoid, we analyzed data from a cohort of patients that have been treated for bronchial carcinoid with EBT, surgical resection, or a combination of both. We used our existing database of patients referred for EBT and defined two groups of patients: ≥ 65 and < 65 years. We compared the characteristics, treatment, and causes of death between these groups. Successful EBT was defined as definitive treatment without signs of recurrence during follow-up with CT and bronchoscopy. Recent Findings Thirty-five patients (19%) were ≥ 65 years. The incidence of atypical carcinoid was the same in both age groups (31%). Thirty-six of 184 patients (20%) were directly referred for surgical resection and 148 (80%) underwent EBT. There was no significant difference in success of EBT between patients
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