Atypical peripheral pulmonary carcinoid tumour

Case contributed by Dr Mahomed A. Osman

Presentation

Incidental finding on routine chest radiograph.

Patient Data

Gender: Female
Modality: X-ray

Circumscribed lung nodule in the right upper zone. This is confirmed as being within the right upper lobe on lateral radiograph. 

CT chest

Modality: CT

A 1.5 cm lung nodule in the right upper lobe with lobulated margin. A subsegmental bronchiole is seen leading to the nodule. The nodule mildly enhances and is concerning for malignancy.

Case Discussion

The differential is wide and includes primary lung malignancy, metastatic disease and benign tumour.

This patient underwent a right upper lobectomy. Histology confirmed typical carcinoid tumour of the lung, with two further smaller tumourlets within the right upper lobe which were not appreciated on CT.

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Case Information

rID: 22066
Case created: 8th Mar 2013
Last edited: 1st Oct 2015
System: Chest
Inclusion in quiz mode: Included

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