Evaluation of demographic and rare clinical characteristics of patients with thoracic carcinoid tumor in Razi and Aria Hospitals of Rasht during 2006-2019

Introduction: Carcinoid tumors are malignant neoplasms of low-malignant neuroendocrine cells. This study tended to evaluate the demographic and rare clinical characteristics of patients with thoracic carcinoid tumor during 2006-2016 at Razi and Aria Hospitals in Rasht.

Materials and Methods: The present study was performed on records of 43 patients with lung carcinoid tumors referred to Razi and Aria Hospitals of Rasht during 2006-2019. Information on age, gender, rare clinical symptoms, smoking history, diagnosis tools, treatment and outcome were analyzed.

Results: Of the 43 patients treated with definitive diagnosis of carcinoid tumor pathology, 31 patients had typic carcinoid tumor and 12 patients had atypic carcinoma (mean age 43.14±15.16 years). The most common clinical symptom was cough and hemoptysis. Two cases presented with Cushing’s syndrome. The most common diagnostic method in this study was simultaneous use of both CT scan and bronchoscopy. In 95.3% of cases, the tumor manifested as pulmonary and in 4.7% of cases it was extrapulmonary. Right lower lobe was the most common site of tumor involvement and lobectomy was the most frequent surgical procedure performed.

Conclusion: based upon our study the most common clinical sign of thoracic carcinoid was cough and the tumor was pulmonary in 95.3% of cases. Right lower lobe was the most common site of involvement and the most frequent surgical procedure performed was lobectomy. The outcome was good.