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Effective endobronchial carcinoid tumour management requires a high level of multidisciplinary collaboration. Consequently, clinicians often combine interventional bronchoscopy with advanced surgical techniques. Initially, a 44-year-old woman presented with haemoptysis and progressive wheezing. However, a subsequent bronchoscopy identified a vascular, pedunculated mass. This lesion nearly occluded the airway entirely. Therefore, the team performed an en bloc resection using electrocautery and a cryoprobe. Furthermore, this intervention enabled immediate airway recanalization and provided a tissue diagnosis. Additionally, endobronchial ultrasound-guided aspiration ruled out nodal involvement. Notably, histopathology confirmed a typical carcinoid tumour.
Subsequently, the patient underwent a robotic-assisted sleeve resection. Moreover, this surgical strategy successfully preserved the lung parenchyma. Consequently, the surgeon achieved negative margins without performing a full pneumonectomy. Furthermore, a surveillance bronchoscopy later showed a well-healed anastomosis. Notably, the patient exhibited no granulation tissue. Therefore, the case demonstrates that bronchoscopic staging is vital. Additionally, it highlights how these tools facilitate lung-sparing surgery. Finally, a multidisciplinary approach ensures the best oncological and functional outcomes.
A multidisciplinary approach allows for accurate staging via bronchoscopy followed by precise, lung-sparing surgical resection, ensuring optimal patient recovery.
Robotic sleeve resection allows for meticulous dissection and reconstruction, which helps preserve healthy lung tissue while achieving complete tumour removal.
Disclaimer: This content is for informational and educational purposes only and does not constitute medical advice or a professional relationship between the reader and the author. Always seek the advice of a qualified healthcare provider with any questions regarding a medical condition. Refer to the latest local and national guidelines for clinical practice.
References
Ayasa L et al. Multidisciplinary management of endobronchial carcinoid tumours through a combined bronchoscopic and surgical approach. Multimed Man Cardiothorac Surg. 2026 Mar 12. doi: 10.1510/mmcts.2025.146. PMID: 41823040.
Filosso PL, Ferolla P, Guerrera F, et al. Multidisciplinary management of advanced lung neuroendocrine tumors. Ann Transl Med. 2017;5(10):204. doi:10.21037/atm.2017.03.74.
Detterbeck FC. Management of carcinoid tumors. Ann Thorac Surg. 2010;89(3):998-1005. doi:10.1016/j.athoracsur.2009.07.033.

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A case study on the multidisciplinary management of endobronchial carcinoid tumours through combined bronchoscopic recanalization and robotic sleeve resecti...
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