Diagnosis and management of typical and atypical lung carcinoids

Crit Rev Oncol Hematol. 2016 Apr:100:167-76. doi: 10.1016/j.critrevonc.2016.02.009. Epub 2016 Feb 18.

Abstract

An estimated 20% to 30% of all neuroendocrine tumours originate in the bronchial tree and lungs. According to the 2015 World Health Organization categorization, these tumours are separated into four subtypes characterized by increasing biological aggressiveness: typical carcinoid, atypical carcinoid, large-cell neuroendocrine carcinoma and small-cell carcinoma. Although typical and atypical lung carcinoids account for less than 1-5% of all pulmonary malignancies, the incidence of these neoplasms has risen significantly in recent decades. Surgery is the treatment of choice for loco-regional disease but for advanced lung carcinoids there is no recognized standard of care and successful management requires a multidisciplinary approach. The aim of this review is to provide a useful guide for the clinical management of lung carcinoids.

Keywords: Atypical carcinoids; Lung carcinoids; Neuroendocrine tumours; Typical carcinoids.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / analysis
  • Carcinoid Tumor / diagnosis*
  • Carcinoid Tumor / pathology
  • Carcinoid Tumor / therapy*
  • Carcinoma, Large Cell / diagnosis
  • Carcinoma, Large Cell / pathology
  • Carcinoma, Large Cell / therapy
  • Cytodiagnosis / methods
  • Diagnostic Imaging / methods
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / pathology
  • Lung Neoplasms / therapy*
  • Neoplasm Metastasis
  • Neuroendocrine Tumors / diagnosis
  • Neuroendocrine Tumors / pathology
  • Neuroendocrine Tumors / therapy
  • Small Cell Lung Carcinoma / diagnosis
  • Small Cell Lung Carcinoma / pathology
  • Small Cell Lung Carcinoma / therapy

Substances

  • Biomarkers, Tumor