Bronchial carcinoid tumor: A case report

Mindaye, Esubalew Taddese; Tesfay, Goytom Knfe

doi:10.1016/j.ijscr.2020.11.043

Cited by 11 publications

(19 citation statements)

References 10 publications

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“…They are usually visualized as solitary pulmonary nodules predominantly in segmental or subsegmental bronchi (80%), in some cases with calci cations, and in up to 75% they are associated with endobronchial lesions as in the present case (4). Central carcinoids can present with an endobronchial component, being round tumors with an average size of 2-3 cm, with the bronchoscopic study being the best method for biopsy and aetiological study.…”

Section: Discussionmentioning

confidence: 56%

Pulmonary Carcinoid Tumour of Endobronchial Presentation: A Case Report

Valderrama-Saldaña

Cubas

Reina

et al. 2023

Preprint

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Introduction: Lung carcinoid tumors account for 1-2 % of malignant lung neoplasms. Early diagnosis is crucial, and surgery at an early stage may improve the clinical picture and may even be a curative option. Case report: We present the case of a 78-year-old woman with a history of poorly controlled arterial hypertension, anxious syndrome, irritable bowel syndrome, and paroxysmal palpitations for the last two years. Imaging showed a left hilar nodular lesion causing endobronchial obstruction in the left lower lobe. Anatomopathology revealed a low-grade pulmonary neuroendocrine tumor, and pulmonary resection with nodal staging was promptly considered. Conclusions: The diagnosis of pulmonary carcinoid tumor is challenging; therefore, it is necessary to maintain suspicion in patients with non-specific and/or persistent respiratory symptoms, and complete resection and prolonged close follow-up should be considered despite a satisfactory postoperative course.

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Section: Discussionmentioning

confidence: 56%

Pulmonary Carcinoid Tumour of Endobronchial Presentation: A Case Report

Valderrama-Saldaña

Cubas

Reina

et al. 2023

Preprint

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“…There is no gender predilection for typical carcinoid. There is a bimodal peak incidence during adolescence and 40-50 years of age (9). Although our patient belongs to the second peak of presentation, she likely had the tumour earlier as its indolent and remained asymptomatic till date.…”

Section: -60%mentioning

confidence: 67%

“…Most patients with bronchial carcinoid are asymptomatic or can present with nonspecific symptoms of airway obstruction such as wheezing, haemoptysis, dyspnoea, chest pain and recurrent infections resulting in misdiagnosis or late diagnosis (9). Furthermore, as these tumours are rare, they are often not considered as a differential diagnosis especially in the young presenting with a myriad of vague symptoms.…”

Section: -60%mentioning

confidence: 99%

Haemorrhage post biopsy of a bronchial carcinoid

Vadivelu¹,

Rahaman²,

Kho³

et al. 2022

TIJ

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Background: Bronchial carcinoid tumours are rare, indolent, malignant neuroendocrine tumours derived from Kulchitsky cells and are not related to smoking. As these tumours can be asymptomatic or present with nonspecific symptoms, a high index of suspicion is essential to make an early diagnosis which determines the prognosis. Surgery is curative and remains the mainstay of treatment. Case presentation: A 41-year-old female with no background medical illness first presented with a spontaneous left sided pneumothorax requiring a chest tube insertion. High-resolution CT (HRCT) thorax detected an incidental solitary pulmonary nodule. Bronchoscopy revealed a smooth round tumour sitting at the ostium of the basal right lower lobe bronchus. Endobronchial biopsy was complicated with massive bleeding requiring emergency exploration via rigid bronchoscopy. Multiple attempts to secure haemostasis using Watanabe spigot and argon plasma coagulation failed. She was intubated with a double lumen tube to isolate the healthy left lung. An urgent CT pulmonary angiogram (CTA) was performed to look for collaterals and feasibility of embolization, but no collaterals were seen. She was then referred to the cardiothoracic surgeon for an emergency right lobectomy. Histopathological examination revealed typical carcinoid tumour. She was discharged from the hospital in a stable condition. Discussion: Bronchial carcinoids embryologically originate from the foregut and patients rarely present with features suggestive of carcinoid syndrome and crisis. Mostly are asymptomatic resulting in late presentation and diagnosis. Majority of the typical carcinoids are centrally located and may present with obstructive symptoms and recurrent pneumonia. Bronchoscopists may face massive bleeding following endobronchial biopsy in bronchial carcinoids. Conclusion: Massive bleeding after endobronchial biopsy can occur and therefore the bronchoscopist should have anaesthesia, interventional radiology, and cardiothoracic support to handle this complication. Using tumour markers may obviate the need for biopsy in typical bronchial carcinoids to prevent massive bleeding after endobronchial biopsy.

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“…The majority of typical carcinoid tumors occur in the central airways, leading to airway obstruction due to recurrent pneumonia, and account for about 2% of the total lung tumors [7]. Carcinoid tumors are most commonly found in the GIT but can also be seen in other organs such as the lungs, larynx, bronchus, liver, pancreas, kidneys, ovaries, prostate, and thymus [5].…”

Section: Discussionmentioning

confidence: 99%

Atypical Carcinoid Syndrome in a Patient Presenting With Pericarditis and Supraventricular Tachycardia: A Case Report

Khan¹,

Besis²,

Patel³

2022

Cureus

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Atypical carcinoids are more uncommon than typical carcinoids, and carcinoid syndrome in general is quite rare. Mediastinal atypical carcinoid is a rare neuroendocrine tumor (NET) that spreads aggressively and rapidly. Morphologically, neuroendocrine tumors are classified into typical carcinoid, atypical carcinoid, small cell carcinoma, and large cell neuroendocrine carcinoma, and the latter two are high-grade tumors. The incidence of atypical carcinoid is rare, and the prognosis is poor, which makes larger trials difficult. It may affect the liver, lungs, or mediastinum with or without metastasis. We present a case of a 47-year-old male patient who presented with chest pain and was found to be in supraventricular tachycardia (SVT) on initial presentation to the hospital. A repeat electrocardiogram (ECG) showed widespread ST-segment elevation. A bedside echocardiogram showed a moderate pericardial effusion, and the patient underwent a coronary angiogram, which showed normal coronary arteries. A computed tomography pulmonary angiogram (CTPA) showed a right mediastinal mass, and the patient was referred to oncology following a discussion in a multidisciplinary team (MDT) meeting. He was commenced on neoadjuvant chemotherapy and has been followed up since in the outpatient clinic. This case is unique due to the initial presentation of supraventricular tachycardia and pericardial effusion.

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Bronchial carcinoid tumor: A case report

Cited by 11 publications

References 10 publications

Pulmonary Carcinoid Tumour of Endobronchial Presentation: A Case Report

Pulmonary Carcinoid Tumour of Endobronchial Presentation: A Case Report

Haemorrhage post biopsy of a bronchial carcinoid

Atypical Carcinoid Syndrome in a Patient Presenting With Pericarditis and Supraventricular Tachycardia: A Case Report

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