2016 Volume 30 Issue 4 Pages 448-453
A 67-year-old woman was pointed out to have nodular shadows on both sides of lower lung fields on a chest radiograph. The tumor in the left lung was diagnosed as typical carcinoid (TC) based on bronchoscopy, and the other tumor in the right lung could not be diagnosed from bronchoscopy preoperatively, and so we could not rule out a malignant tumor. We scheduled a two-stage operation, knowing that the right tumor might be more malignant than TC of the left lung. We performed right middle lobectomy and mediastinal lymph node dissection first. Then, we performed left lower lobectomy and mediastinal lymph node dissection two weeks after the first operation. Both tumors were diagnosed as TC. The right one was staged IIB with T3N0 pathologically, and the left one was staged IIIA with T2aN2. We report a very rare case of synchronous bilateral bronchopulmonary typical carcinoids with a literature review and clinical analysis at our institute.
