Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Preoperative Evaluation Management of the Patient with Endobronchial Tumor – Our Experience

Matache Radu Șerban
* ORCID logo ,
Savu Cornel Florentin
ORCID logo ,
Stanciu Gavan Camelia
* ,
Pantile Daniel
* ,
Badescu Camelia
,
Edan Athir
,
Iordache Adrian Mihail
,
Bobocea Andrei Cristian
,
Vlăsceanu Silviu Gabriel
,
Mahler Beatrice
,
Bejgăneanu Andreea Octavia
,
Nemes Roxana Maria
*
Version 1 : Received: 14 August 2023 / Approved: 14 August 2023 / Online: 15 August 2023 (04:34:42 CEST)

How to cite: Radu Șerban, M.; Cornel Florentin, S.; Camelia, S.G.; Daniel, P.; Camelia, B.; Athir, E.; Adrian Mihail, I.; Andrei Cristian, B.; Silviu Gabriel, V.; Beatrice, M.; Andreea Octavia, B.; Roxana Maria, N. Preoperative Evaluation Management of the Patient with Endobronchial Tumor – Our Experience. Preprints 2023, 2023081070. https://doi.org/10.20944/preprints202308.1070.v1 Radu Șerban, M.; Cornel Florentin, S.; Camelia, S.G.; Daniel, P.; Camelia, B.; Athir, E.; Adrian Mihail, I.; Andrei Cristian, B.; Silviu Gabriel, V.; Beatrice, M.; Andreea Octavia, B.; Roxana Maria, N. Preoperative Evaluation Management of the Patient with Endobronchial Tumor – Our Experience. Preprints 2023, 2023081070. https://doi.org/10.20944/preprints202308.1070.v1

Abstract

Context: Endobronchial tumors are relatively rare. Pathological types are varied, both benign and malignant. Establishing the diagnosis and sleeve resection criteria for such tumors remains a challenge for pulmonologists, bronchoscopists, radiologists, thoracic surgeons, and pathologists. The management of the preoperative assessment of these patients and the establishment of the indication for sleeve resection, represent a big problem. Lung parenchymal sparing surgery remains a challenge, especially in neoplastic patients. Material and methods: We carried out a monocentric retrospective study, during the period 2009-2017, on a number of 57 patients. In our center they benefited from clinical examination, radiography, tomography, respiratory function evaluations, autofluorescence bronchoscopy, cardiological evaluation and detection of blood tumor markers. All the patients benefited from the analysis of the tumorboard of our institute and the establishment of the surgical indication for scleev resection. Results: Sparing of the lung parenchyma was achieved in case of the 57 patients included in the study. The complex evaluations of laboratory parameters, functional tests, CT examination, bronchoscopy, cardiology, were analyzed by the tumor board, so that the indication for surgical intervention was sleeve resection with preservation of the lung parenchyma. Conclusions: We selected patients for sleeve resection, those who presented endobronchial tumors of 2 cm in diameter, with cartilages and bronchial mucosa intact at least 1 cm or 2 cartilages from the formation, on CT and bronchoscopic examination. Cardiological examination and functional tests showed values that do not contradict surgical intervention.

Keywords

endobronchial tumor; bronchoscopy; tumor board; sleeve resection criteria

Subject

Medicine and Pharmacology, Pulmonary and Respiratory Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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