Pulmonary neuroendocrine tumour

Case contributed by Dr Ian Bickle

Presentation

Otherwise well middle aged female presents with a right cheek mass. Other masses identified on abdomen and back.

Patient Data

Age: 57
Gender: Female

FNAC of cheek suggested neuroendocrine tumour - CT to find the primary

Modality: CT

Large left upper lobe mass invading the mediastinal pleura and encircling the left upper lobe pulmonary artery at its origin.

Extensive pre-aortic lymphadenopathy.  1.5cm right adrenal nodule.

Two soft tissue masses in the subcutaneous tissues of the left side of the back, abdominal wall and right ischoanal fossa.

Right ilium and left sacral body metastases.

Histology from the lung mass confirmed the suspicions from the cheek FNAC of a neuroendocrine tumour of pulmonary origin.

The subcutanous lesions on the cheek, back and abdominal wall being metastases.

Case Discussion

Unusual presentation of a less common lung primary - a pulmonary neuroendocrine tumour.

The patient has a cheek mass initially though to be an abscess - FNAC on the second visit indicated a neuroendocrine tumour.

CT identified a left upper lobe mass as well as multiple further subcutaenous masses, including in the ischioanal fossa in keeping with a lung primary with metastatic disease.

Bony metastatic lesions in the right ilum and left sacral body.

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Case Information

rID: 36527
Case created: 28th Apr 2015
Last edited: 6th Jan 2017
System: Chest
Tag: ravi
Inclusion in quiz mode: Included

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