Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.2, Jun. 2015, Pub. Date: May 6, 2015
Primary Endobronchial Carcinoid Tumour: Case Report and Review of Literature
Pages: 43-47 Views: 1461 Downloads: 621
Authors
[01] Archana Kumari, Department of Radiodiagnosis, Delhi State Cancer Institutes, Dilshad Garden, Delhi, India.
[02] Pankaj Sharma, Department of Radiodiagnosis, Delhi State Cancer Institutes, Dilshad Garden, Delhi, India.
[03] Gargi Tikku, Department of Pathology, Delhi State Cancer Institutes, Dilshad Garden, Delhi, India.
[04] Kriti Malhotra, Department of Radiodiagnosis, Delhi State Cancer Institutes, Dilshad Garden, Delhi, India.
Abstract
Bronchial carcinoid tumours are carcinoid tumours primarily occurring in relation to a bronchus. They are uncommon comprising only 1-2% of all lung tumours. This is case of 28 year old man with persistent wheezing, cough with expectoration, fever and chest pain on left side, for four to five months. All routine investigations were within normal limits. Chest roentgenogram demonstrated partial volume loss on left side. Contrast Enhanced Computed Tomography (CT) of thorax revealed lobulated intraluminal mass lesion completely occluding left main bronchus; approximately 1 cm from carina. On arterial phase of the scan, the lesion showed intense homogenous enhancement characteristic of carcinoid tumours. In addition, CT scan showed mediastinal lymphadenopathy and partial left lung collapse with multiple air filled cavities. Subsequent bronchoscopy revealed reddish lobulated tumour of let main bronchus. Bronchoscopy alveolar lavage (BAL) showed no abnormal cells. On Bronchoscopy biopsy, it came out to be typical carcinoid tumour of grade 1 type. Patient was initially unsuccessfully treated for bronchial asthma, as intrabronchial mass was not suspected. Further investigations revealed intrabronchial mass lesion completely occluding left main bronchus. This intrabronchial mass in our case was carcinoid tumour. Thus, due to lack of characteristic symptoms, diagnosis of intrabronchial carcinoid is usually delayed. We advocate that patient with refractory respiratory symptoms should undergo comprehensive Radiological and Pathological investigations for accurate and early diagnosis.
Keywords
Endobronchial Carcinoids, Computed Tomography, Bronchoscopy, Radiotherapy
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