Recent Advances in the Management of Typical and Atypical Lung Carcinoids

Clin Lung Cancer. 2021 May;22(3):161-169. doi: 10.1016/j.cllc.2020.12.004. Epub 2020 Dec 17.

Abstract

Neuroendocrine neoplasms of the lung represent about 20% to 30% of all neuroendocrine tumors. On the basis of clinical and pathologic characteristics, 2 different categories of tumors may be defined: poorly differentiated neuroendocrine neoplasms, characterized by a high rate of recurrences and poor prognosis, and well-differentiated neuroendocrine neoplasms (typical carcinoids and atypical carcinoids), which generally display an indolent course. Lung carcinoids represent only 1% to 5% of all lung malignancies, but their incidence has significantly increased over the past 30 years. Surgery is the reference standard of treatment for lung carcinoids with locoregional disease. For advanced or unresectable lung carcinoids, several therapeutic options are available, but the choice should be shared within a multidisciplinary team to ensure optimal therapeutic outcomes. We describe the current management of these rare neoplasms.

Keywords: Bronchial neuroendocrine tumors; Diagnosis; Epidemiology; Therapy; Typical carcinoid.

Publication types

  • Review

MeSH terms

  • Carcinoid Tumor / epidemiology
  • Carcinoid Tumor / pathology
  • Carcinoid Tumor / therapy*
  • Humans
  • Incidence
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / pathology
  • Lung Neoplasms / therapy*
  • Neuroendocrine Tumors / epidemiology
  • Neuroendocrine Tumors / pathology
  • Neuroendocrine Tumors / therapy
  • Patient Care Team