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Weekly Chest CasesArchive of Old Cases

Case No : 467 Date 2006-10-09

  • Courtesy of Sang uk Park, MD, Kyung hee Lee, MD. / Inha University Hospital, Korea
  • Age/Sex 47 / F
  • Chief ComplaintHemoptysis
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6

Diagnosis With Brief Discussion

Diagnosis
Typical Carcinoid Tumor
Radiologic Findings
Simple chest radiographs show a well marginated lobulating contoured mass in left upper lobe. Chest CT scans show a 3.5cm sized lobulating mass in left upper lobe with endobronchial polypoid component with relatively well enhancement. On PET　CT, the max SUV of the mass was 3.1.

The radiologic differential diagnoses were

1. Endobronchial tumor, such as carcinoid.

2. mucoepidermoid carcinoma, adenoid cystic carcinoma

3. Other bronchogenic carcinoma

4. Endobronchial metastasis.

Bronchoscopy revealed a hypervascular mass obstructing the left upper lobar bronchus. Left upper lobe lobectomy was done. The final pathological diagnosis was typical carcinoid tumor.
Brief Review
References
Please refer to case 162.
Keywords
Airway, Benign tumor,

No. of Applicants : 40

▶ Correct Answer : 22/40,  55.0%
  • - Pgimer, Chandigarh, India Ram Prakash Galwa
  • - Hopital Calmette, CHRU, Lille, France Toledano Manuel
  • - ASSC, Safwa, Saudi Arabia Kalari Adinarayana
  • - Aditya Imaging Center, Gujarat, India Vivek Patel
  • - KAUMS, Kashan, Iran Ebrahim Razi
  • - Inha University Hospital, Korea Seung Woo Choi
  • - Mubarak Al Kabeer Hospital, Kuwait Varghese Sajeev P.J
  • - Nanavati Hospital, Mumbai S K Susheel Kumar
  • - Mackay Memorial Hospital, Taipei, Taiwan Chia-Fu Tsai
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Gwangmyoung Sungae Hospital, Korea Jiyong Rhee
  • - Radiologie Guiton, La Rochelle, France Denis Chabassiere
  • - Annecy Hospital, France Gilles Genin
  • - Airforce Hospital, Korea Hyun Seok Choi
  • - Monaldi Hospital,Naples, Italy Gaetano Rea
  • - Homs National Hospital, Syria Rami Abou Zalaf
  • - St. VincentHospital, Korea Chae-hunLim
  • - Pgimer, Chandigarh, India Ashish Gupta
  • - Doctors Hospital, Nassau, Bahamas N.B.S.Mani
  • - Max Hospital, New Delhi, India Vickrant Malhotra
  • - St. Luca Hospital, Milano, Italy Filippo Casolo
  • - China Medical University Hospital,Taiwan Jun-Jun Yeh
▶ Correct Answer as Differential Diagnosis : 8/40,  20.0%
  • - Marien Hospital, Germany Davis Chiramel
  • - Inje University Ilsan Paik Hospital, Korea Bae Geun Oh
  • - Yonsei University Severance Hospital, Korea Eun Hye Yoo
  • - Ondokuz Mayis University, Samsun, Turkey Cetin Celenk
  • - Annemasse, Polyclinique de Savoie, France Gay-Dpassier Philippe
  • - Sam Anyang Hospital, Korea Jae Seung Seo
  • - Ultra Care, Coimbatore, India Debabrata Das
  • - Fourth Terrace Diagnostic Center, Nassau, Bahamas Trupti Dabholkar
▶ Semi-Correct Answer : 1/40,  2.5%
  • - National Taiwan University Hospital, Taiwan Yu-Feng Wei
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