81 Bronchial Carcinoid

CASE 81


image Clinical Presentation


18-year-old woman with cough and hemoptysis


image Radiologic Findings


PA (Fig. 81.1) and lateral (Fig. 81.2) chest radiographs demonstrate left lower lobe atelectasis. Contrast-enhanced chest CT (mediastinal window) (Figs. 81.3, 81.4) reveals a small, lobular, enhancing, partially endobronchial lesion obstructing the left lower lobe bronchus, with resultant volume loss, consolidation, and bronchiectasis (Fig. 81.4).


image Diagnosis


Bronchial Carcinoid


image Differential Diagnosis


• Mucoepidermoid Carcinoma


• Adenoid Cystic Carcinoma


• Central Lung Cancer (rare in adolescents and young adults)



image


Fig. 81.1



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Fig. 81.2




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Fig. 81.3



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Fig. 81.4


image Discussion


Background


Carcinoid is a rare malignant primary pulmonary neoplasm of neuroendocrine origin and accounts for approximately 2% of all lung neoplasms. Eighty to 90% of bronchial and pulmonary carcinoids are typical (<2 mitoses per 10 high-power fields and absent necrosis) and 10–20% are atypical (2–10 mitoses per 10 high-power fields and necrosis) carcinoids.


Etiology

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Jan 14, 2016 | Posted by in RESPIRATORY IMAGING | Comments Off on 81 Bronchial Carcinoid

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