Multidisciplinary management of endobronchial carcinoid tumours through a combined bronchoscopic and surgical approach

We report the case of a 44-year-old woman with a typical carcinoid tumour of the left mainstem bronchus managed through a multidisciplinary and combined approach. Initial symptoms included haemoptysis and progressive wheezing. A subsequent bronchoscopy revealed a highly vascular, pedunculated mass nearly occluding the airway. En bloc resection using electrocautery and a cryoprobe enabled airway recanalization and diagnosis. Endobronchial ultrasound-guided transbronchial fine needle aspiration ruled out nodal disease. Histopathological examination confirmed a typical carcinoid tumour. Robotic-assisted sleeve resection was subsequently performed, preserving parenchyma and achieving negative margins. Surveillance bronchoscopy showed a well-healed anastomosis with no granulation. This case highlights the importance of bronchoscopic interventions in staging and treatment planning, as well as their role in facilitating lung-sparing surgical strategies.