Abstract
A 48-year-old Japanese female received upper lobectomy on the right side and dissection of regional lymph nodes for the treatment of typical carcinoid. Though the tumor was 19 mm in maximum diameter, metastasis to the mediastinal lymph nodes was recognized. Two courses of postoperative chemotherapy with Paclitaxel plus Carboplatin were performed. There was swelling of the paraaortic lymphnodes gradually nine months after operation. Biopsy of the lymphnodes was performed and sarcoid-like reaction was recognized in those lymphnodes. It is necessary to perform lymph node dissection of N2b even in surgery for typical carcinoid, <2cm in size. This is a rare case of typical carcinoid with swelling of the mediastinal lymphnodes postoperatively caused by sarcoid-like reaction.
