Weekly Chest CasesArchive of Old Cases

Case No : 718 Date 2011-08-03

  • Courtesy of Yi, Jeong Geun / Konkuk University medical center
  • Age/Sex 50 / F
  • Chief ComplaintIncidental finding on screening chest CT.
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Figure 1

Diagnosis With Brief Discussion

Diagnosis
Typical carcinoid
Radiologic Findings
Brief Review
Most of the typical carcinoids are central in location, with manifestation of bronchial obstruction, such as, atelectasis, recurrent pneumonia, and obstructive pneumonitis. Peripheral carcinoids appear as solitary pulmonary nodules, usually homogeneous, sharply defined, round and slightly lobulated, which are usually less than 3 cm in size. They are highly vascular and usually show marked enhancement on CT and MRI. Although calcifications are seldom visible on chest radiographs, CT scan reveals calcification in 30% of patients. Carcinoids and bronchioloalveolar cell carcinoma (adenocarcinoma in situ) are two famous malignant SPNs showing little uptake on PET-CT.
References
Keywords
lung, benign tumor,

No. of Applicants : 82

▶ Correct Answer : 16/82,  19.5%
  • - China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Radiologie Brabois adultes , France ROPION helene
  • - The armed forces Yangju hospital , Korea (South) Dae Kun Oh
  • - Goa Medical College , India Paresh Desai
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - snuh , Korea (South) Choo jiyung
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - Seoul St Mary Hospital , Korea (South) Chae Lim
  • - Hanyang university medical center , Korea (South) YOONAH SONG
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - Fr Mullers Medical College , India Deepu Thomas
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - IRSA , France Denis Chabassi�re
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
▶ Correct Answer as Differential Diagnosis : 25/82,  30.5%
  • - Okayama University , Japan Akihiro Tada
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - Seoul National University Hospital , Korea (South) YongSub Song
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - sunder lal jain hospital , India sanjeev vachher
  • - IRSA , France jean-luc BIGOT
  • - Dong-A university medical center , Korea (South) Dong-Won Kim
  • - Youngdong Hospital , Korea (South) Sang Min Lee
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - McGill University Health Center , Canada Alexandre Semionov
  • - University of British Columbia , Canada Amr Ajlan
  • - James Paget Hospital , U.K , United Kingdom nabil mahmood
  • - CHRU lille , France manuel toledano
  • - Bupyong Serim Hospital , Korea (South) Hee Seok Choi
  • - chp st martin , France Mariotte benoit
  • - Pneumologia Universitaria, Policlinico di Bari , Italy Mario Damiani
  • - Kohka Public Hospital , Japan Akitoshi Inoue
  • - Mallinckrodt Institute of Radiology , United States Travis Henry
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - KUMC ansan , Korea (South) kihwan kim
  • - Radnet Teleradiology Istanbul , Turkey Armagan Sarac
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
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