Thoracoscopic excision of a peripheral corticotropin-secreting pulmonary carcinoid tumor.
Bronchial carcinoid tumors are rare neuroendocrine neoplasms that arise from the Kulchitsky cells of the bronchial epithelium. These tumors can manifest as central carcinoid tumors, pulmonary carcinoid tumorlets, or peripheral carcinoid tumors. Occasionally, the peripheral carcinoid tumors produce corticotropin and result in Cushing's syndrome. Herein we report the first case of Cushing's syndrome associated with a peripheral pulmonary carcinoid tumor that was excised by video-assisted thoracoscopy. After excision, the patient had complete remission. Video-assisted thoracoscopy may be ideal for resecting a peripheral pulmonary carcinoid, especially in patients with debilitation but no evidence of metastasis.
Gharagozloo
F
F
Division of Thoracic and Cardiovascular Surgery, Mayo Clinic Scottsdale, Arizona.
Dausmann
M J
MJ
Whitaker
M D
MD
Camoriano
J K
JK
Parish
J M
JM
McReynolds
S D
SD
Hall
K A
KA
Pluth
J R
JR
D000324:Adrenocorticotropic Hormone / Q000378:metabolism*; D000368:Aged; D002276:Carcinoid Tumor / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D003480:Cushing Syndrome / Q000209:etiology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D014741:Video Recording
D000324:Adrenocorticotropic Hormone