Pulmonary carcinoids are relatively rare tumors with low metastatic potential. Pleural car-cinomatosis of a bronchial carcinoid has only been reported in 4 cases. Due to the rarity of this condition, there are no guidelines for its treatment or management. We report a case of atypical carcinoid with local recurrence and pleural metastases treated by video-assist-ed thoracoscopic surgery lobectomy and total pleurectomy with photodynamic therapy after non-radical wedge resection.