Endobronchial carcinoid tumor

Case contributed by Dr Francis Fortin

Presentation

15 year old male patient presenting with new onset dyspnea over 1 year with pulmonary function tests demonstrating a restrictive pattern.

Patient Data

Age: 15 years
Gender: Male

Initial Chest X-ray

Endobronchial mass involving the bifurcation of the left mainstem bronchus which initially went unnoticed by the radiologist who first interpreted this x-ray as normal. Of note, there is no significant atelectasis of the left lung visible, indicating that the mass is not fully obstructive.

Annotated Image Outlining the Endobronchial Mass

Modality: Annotated image

Endobronchial mass is outlined.

Chest CT done 2 months later because of symptom progression

Modality: CT

Coronal CT of the chest demonstrates a well-defined partially obstructive endobronchial mass at the bifurcation of the left mainstem bronchus thought to most likely represent an endobronchial carcinoid tumor in this 15 year-old boy.

1 Year Post-Operative

Modality: X-ray

1 year post-operative x-ray

Case Discussion

This case demonstrates the importance of paying attention to the airways when evaluating every chest x-ray. This young patient presented with worrisome symptoms and an evident endobronchial mass on his first x-ray which was flagged as normal.

The patient went on to have a left lower lobectomy and sleeve procedure with an uneventful recovery.

Pathology confirmed an endobronchial carcinoid tumor which was entirely resected.

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Case Information

rID: 42299
Case created: 15th Jan 2016
Last edited: 24th Mar 2017
System: Chest
Inclusion in quiz mode: Included

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