Atypical diagnosis for typical lung carcinoid
| Autor: | Giovanni Musci, Sofia Taddei, Roberto Piro, Roberto Tonelli, Alessandro Marchioni, Nicola Facciolongo, Enrico Clini |
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| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Lung Neoplasms Solitary pulmonary nodule Case Report Carcinoid Tumor Endosonography pulmonary carcinoid tumor trans-bronchial biopsy solitary pulmonary nodule Bronchoscopy Pulmonary carcinoid tumor Fluorodeoxyglucose F18 Positron Emission Tomography Computed Tomography Medicine Humans Sampling (medicine) Nodular Opacity Pathological trans-bronchial biopsy Aged Fluorodeoxyglucose lcsh:RC705-779 Lung medicine.diagnostic_test business.industry Ultrasound solitary pulmonary nodule pulmonary carcinoid tumor lcsh:Diseases of the respiratory system medicine.disease medicine.anatomical_structure Trans-bronchial biopsy Radiology business medicine.drug |
| Zdroj: | BMC Pulmonary Medicine BMC Pulmonary Medicine, Vol 19, Iss 1, Pp 1-5 (2019) |
| ISSN: | 1471-2466 |
| Popis: | Background The diagnosis of lung typical carcinoid tumors results challenging when limited size and unfavorable sampling location is associated. It has been reported that bronchoscopy with endobronchial ultrasound (EBUS) significantly increases the diagnostic yield of peripheral nodules smaller than 2 cm. Case presentation A 70-year-old Caucasian male complained of persistent fever and cough despite several antibiotic courses and steroid treatment. Chest radiology revealed the presence of a small single nodular opacity in the left upper lobe, whose standardized maximum uptake value (SUV) at fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET/CT) was significantly high (4.5). The patient underwent bronchial endoscopy but any appreciable sign of endobronchial or intramural involvement was detected. Only radial ultrasound-guided bronchoscopy (R-EBUS) allowed transbronchial sampling whose pathological analysis revealed a typical carcinoid tumor. The patients underwent surgical lobectomy and clinic-radiological follow was started. Conclusions With this case we aim at stressing the importance of ultrasound in the diagnostic process of lung small peripheral carcinoid, especially if they present without mucosal or sub mucosal involvement. |
| Databáze: | OpenAIRE |
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