Q:

Which of the following statements about typical carcinoid tumors are true?

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Which of the following statements about typical carcinoid tumors are true?


  1. They make up the majority of bronchial adenomas.
  2. They frequently have lymph node metastases.
  3. The carcinoid syndrome is observed in 33%.
  4. Overall survival at 5 years is 90%.
  5. Overall survival at 5 years is 50%.

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A. They make up the majority of bronchial adenomas.

D. Overall survival at 5 years is 90%.

DISCUSSION: Eighty-five per cent of bronchial adenomas are carcinoid tumors. Typical carcinoid tumors have few mitotic figures and infrequent lymph node metastases (fewer than 10%). Only 10% to 15% of patients present with the carcinoid syndrome (flushing, wheezing, diarrhea). Survival after resection is more than 90% at 5 years but decreases to approximately 50% for atypical histology. 

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