Publish in this journal
Journal Information
Vol. 54. Issue 3.
Pages 156 (March 2018)
Share
Share
Download PDF
More article options
Vol. 54. Issue 3.
Pages 156 (March 2018)
Clinical image
DOI: 10.1016/j.arbr.2017.06.011
Full text access
A Case of a Carcinoid Tumour With Diffuse Tracheal Invasion
Caso de tumor carcinoide con invasión difusa de la tráquea
Visits
646
Cengiz Özdemir, Sinem Nedime Sökücü
Corresponding author
sinemtimur@yahoo.com

Corresponding author.
Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey
This item has received
646
Visits
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

A 45-year-old man diagnosed with an atypical carcinoid tumour had undergone a left upper lobectomy completed with mediastinal lymphadenectomy. The patient was out of follow-up. He presented with dyspnoea and multiple metastases in his liver 5 years after the original diagnosis. A liver biopsy verified neuroendocrine tumour metastases, and the patient was started on everolimus. A thoracic computed tomography scan was taken (Fig. 1a). Rigid bronchoscopy revealed 3-cm long grape like nodules, starting 5cm distal to the vocal cords and obstructing the tracheal lumen 80% (Fig. 1b). The entrance to the right main bronchus and segment openings of distal bronchi were obstructed by nodular infiltrations. Nodular lesions in the trachea were coagulated with a diode laser (980nm wavelength, 4–25W, pulsed mode), and the airway was cleared. Argon plasma coagulation was used at the base of the lesions, and at the entrance of both main bronchi, to control haemorrhaging (Fig. 1c). The patient died 1 year after treatment. Survival with atypical carcinoid tumours is poor compared to typical carcinoids, but still better than for other lung cancers. Endobronchial treatment is an effective method for symptom palliation in patients with atypical carcinoid tumours and a malignant airway obstruction.

Fig. 1.

Tracheal lesions on the thorax computered tomography of the patient (a) Endobronchial view before (b) and after treatment (c).

(0.1MB).
Copyright © 2017. SEPAR
Idiomas
Archivos de Bronconeumología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.