[Bronchial carcinoid discovered due to repeated pneumonia in the lingular division of the left lung; report of a case].
Bronchial carcinoids are relatively rare, low-grade malignancies. Here we report a case of a bronchial carcinoid found by repeated pneumonia in the lingular division of the left lung. A 34-year-old man was referred to our hospital because of an abnormal shadow detected in an annual checkup. A chest computed tomography (CT) showed an infiltrative shadow in the lingular division. Two months later, a follow-up CT showed the shadow had remarkably improved. Two years after the 1st detection, an annual checkup revealed an abnormal shadow in the same lesion again. A chest CT showed not only an infiltrative shadow in the lingular division, but also a solid mass with calcification in the lingular bronchus. A bronchoscopy revealed an obstruction of the left upper lobe bronchus by a vascularized polypoid tumor. A transbronchial biopsy indicated a presence of a carcinoid, and a resection of the left upper lobe was performed. A histopathological examination showed that it was a typical carcinoid. The patient has been free of recurrence for 2 years since surgery. This is a case with repeated pneumonia and atelectasis caused by a bronchial carcinoid.
Hashimoto
Hiroshi
H
Department of Chest Surgery, Japan Self Defense Forces Central Hospital, Tokyo, Japan.
Oshika
Yoshiro
Y
Obara
Kiyohaya
K
Nakagishi
Yoshinori
Y
Shoko
Tanaka
T
Tanaka
Yoshiaki
Y
Sato
Kimiya
K
Matsukuma
Susumu
S
Ozeki
Yuichi
Y
D000328:Adult; D001984:Bronchial Neoplasms / Q000175:diagnosis*; D002276:Carcinoid Tumor / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011014:Pneumonia / Q000209:etiology; D012008:Recurrence; D014057:Tomography, X-Ray Computed