Giant carcinoid tumor mimicking pulmonary sequestration.
A 42-year-old woman who previously underwent two consecutive thoracotomies for a lower lobe mass in her right lung was referred to our clinic for further management. Both procedures were abandoned due to excessive bleeding. Computed tomographic angiography demonstrated an infra-diaphragmatic systemic arterial supply of the mass similar to pulmonary sequestration. However the lobe had a normal venous drainage to the left atrium. Then a right lower lobectomy was undertaken through a hemi-clamshell incision, and histopathology revealed an atypical carcinoid tumor. The patient was discharged home after a satisfactory postoperative period. She still remains disease free at 14 months follow-up.
Olgac
Guven
G
Department of Thoracic Surgery, Sureyyapasa Chest Diseases, Chest Surgery Training and Research Hospital, Istanbul, Turkey. guvenolgac@gmail.com
Peirovi
Farzin
F
Yilmaz
Aynur
A
Kutlu
Cemal Asim
CA
D000328:Adult; D001707:Biopsy, Needle; D001984:Bronchial Neoplasms / Q000175:diagnosis* / Q000601:surgery; D001998:Bronchopulmonary Sequestration / Q000175:diagnosis* / Q000601:surgery; D001999:Bronchoscopy / Q000379:methods; D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011013:Pneumonectomy / Q000379:methods; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome