a42 year-old man with non massive hemoptysis

 

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Doctor's Information

Name : shahram
Family : Kahkoueei
Affiliation :Assistant Professor of Radiology
Academic Degree : Radiology Department, Masih Hospital, SBMU
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : masoomeh norouzi

 

Case Section

Chest Imaging

 

Patient's Information

Gender : Male
Age : 42

 

Clinical Summary

A 42-year-old young adult male presented with history of fever and cough with sputum production for duration of 10 days. He also had history of dyspnea for 4 days and 2 episodes of hemoptysis. Examination of the respiratory system revealed decreased breath sounds and dull note on percussion over LEFT infrascapular area. No other positive signs were noted.

 

Imaging Findings

Plain film features are often non specific. They are most frequently seen as round or oval opacities with sharp and often notched margins 2. Associated airway compression with pulmonary atelectasis may be also seen in some cases. IN THIS CASES THERE IS HYPER LUCENCY OF LEFT HEMITHORAX WHICH IS ASSOCIATED TO AIR TRAPPING. CECT:Central lesions are usually seen as a single hilar or perihilar mass which is usually well-defined, round or ovoid. can be of any size but typically range ~ 2-5 cm. there is often marked homogeneous contrast enhancement due to high vascularity. calcifcation (usually eccentric) can occur but is not a common feature.

 

Differential Diagnosis

a differential diagnosis of bronchial carcinoid is to be kept in mind apart from pulmonary tuberculosis in a young patient presenting with recurrent episodes of pneumonitis and hemoptysis

 

Final Diagnosis

carcinoid tumor of lung

 

Discussion (Related Text)

Bronchial carcinoid tumours are carcinoid tumours primarily occurring in relation to a bronchus. They were previously incorrectly termed as bronchial adenomas 10. Bronchial carcinoids are uncommon, slow growing, low-grade malignant neoplasms comprising 1-2% of all primary lung cancers. They are thought to arise from neuroendocrine/Kulchitsky's cells of bronchial epithelium. They usually occur in association with a segmental or larger bronchus. Carcinoid tumours of the lung fall into a subgroup of neuroendocrine tumours of the lung. They fall under lower end of grade and are not as high grade as small cell carcinoma of the lung or large cell neuroendocrine carcinoma of the lung. Typically affects patients from 3rd to 7th decades with the mean age around 45 years 6,9. Clinic Carcinoid tumours can also be divided into two groups dependent on location as follows bronchial carcinoid tumours - central lesions peripheral pulmonary carcinoid tumours - peripheral lesions

 

References

Carcinoid Tumors - MedlinePlus Health Information Lung Cancer - MedlinePlus Health Information

 

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