Multimodality multistaged management of large endobronchial carcinoid causing respiratory failure: A case report with review of literature

Abstract

We report the case of a 58-year-old female presenting with central airway obstruction leading to airway compromise thrice, first two times from endobronchial growth of typical carcinoid tissue and subsequently from granulation tissue at anastomotic site after left carinal pneumonectomy. Bronchoscopic resection of carcinoid tumor and granulation tissue was performed successfully with electrosurgical snaring through rigid bronchoscope. Cryodebridement using flexible cryoprobe of the tumor was done postembolization and of the remnant granulation tissue without any complication. A multimodality approach is required for favorable outcome as observed in this case.

Advances in Endoscopic Management of Endobronchial Carcinoid

“…All bronchial branches were finally explored after debulking, confirming the absence of bronchial wall thickening; however, only two patients had remarkable bleeding despite the use of cautery on the cut surface of the residual tumor. We advanced the rigid bronchoscope into the right or in the left main bronchus to prevent blood flooding into the trachea, and thus accurate hemostasis was obtained by coagulation with argon plasma or Thulep Laser (Revolix, Lisa Laser Producer OMG, Katelenburg, Germany), adrenaline (1 mL of 1 in 10,000) and SURGICEL [ 13 ]. There were no complications during the treatment.…”