Answer: a, c, d
In the absence of atypia, carcinoids are only locally malignant and can be managed by limited lung and/or
bronchial resection. Therefore, a sleeve resection of the bronchus preserving distal lung would be appropriate. Lymph node sampling at the time of resection, however, is advisable to ensure that a complete resection has been performed. The carcinoid syndrome is rarely found except in the presence of a large primary tumor or hepatic metastases. When the carcinoid syndrome does occur, it is left-sided cardiac valves that are affected rather than right, which one would expect with gastrointestinal carcinoids.
Category:
Surgery MCQs
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