대한흉부영상의학회 Weekly Chest Cases

Case No : 589 Date 2009-02-09

Courtesy of Tae Hoon Kim, MD, Sang Jin Kim, MD. / Kangnam Severance Hospital, Seoul, Korea.
Age/Sex 25 / F
Chief ComplaintLeft chest pain for 3 years

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Diagnosis With Brief Discussion

Diagnosis: Typical carcinoid tumor
Radiologic Findings: Chest radiograph (Fig 1A) showed well-defined mass in left infrahilar area. Chest CT images (Fig 1B-D) showed well defined mass near the left lower lobe bronchus which was narrowed by the mass. The mass was well enhanced and had some area of low attenuation after injection of contrast material. The mass was relatively well demarcated from the lung and was attached to the left lower pulmonary vein and artery.
Brief Review: Bronchoscopic image (Fig 1E) showed intact bronchial mucosa with narrowed lumen by extrinsic mass effect. Operative findings represented that the tumor was severely adhesive to the left lower lobe bronchus as well as pulmonary vein and artery. Left lower lobectomy with LN dissections was performed. The lesion was confirmed as typical carcinoid tumor without LN metastasis.
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References
Keywords

No. of Applicants : 112

▶ Correct Answer : 20/112, 17.9%

- Shiga University of Medical Science , Japan Norihisa Nitta
- jaslok hospital & research centre mumbai , India JAINENDRA JAIN
- CH Macon , France sebastien LARIVE
- CHRU lille , France manuel toledano
- Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
- The Armed Forces HamPyeong Hospital , Korea (South) Bae Geun Oh
- Radiology , Korea (South) Inyoung Youn
- Radiology , Korea (South) Jaewon Kim
- Father Muller Medical College , Mangalore , India nabil mahmood
- bhrc delhi , India monika aggarwal
- john h stroger hsp , United States dheeraj reddy gopireddy
- IRCCS S.Luca Hosp. , Italy filippo casolo
- Ruby Hall Clinic , India john joseph
- Louisiana State University - Shreveport , United States Carlos Previgliano
- Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
- IRSA , France jean BIGOT
- AIIMS , India tariq matin
- PITTWATER RADIOLOGY , Australia Julie Arora
- PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
- Armed Forces Chun-Cheon Hospital , Korea (South) ChaeHun Lim

▶ Correct Answer as Differential Diagnosis : 36/112, 32.1%

- Chungnam National University hospital , Korea (South) Kyoung Jin Oh
- Soonchunhyang university hospital, Bucheon , Korea (South) Hyelin Kim
- UCLA , United States Fereidoun Abtin
- PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
- hospital Sao Paulo , Brazil israel missrie
- Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
- CH Sud Rnion , Reunion jean-baptiste Noel
- National Taiwan University Hospital , Taiwan Chin-Chung Shu
- second hospital xian jiaotong university , China li ming
- Seoul National University Hospital , Korea (South) Sang Min Lee
- HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
- Asan Medical Center , Korea (South) Jae-Woo Song
- Shinchon Severance Hospital , Korea (South) Ho-Joon Lee
- CHR ANNECY , France Olivier Segall
- oswal hospital , India harpreet saini
- Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
- Soonchunhyang university Bucheon hospital , Korea (South) Minhee Lee
- ASL BOLOGNA - MAGGIORE HOSPITAL- ITALY , Italy MARCELLINO BURZI
- Kashan University of Medical Sciences, kashan , Iran Ebrahim Razi
- Private Clinic , Bahamas Trupti Dabholkar
- DCA, , India Rajesh Gothi
- Oita University, Faculty of Medicine , Japan Fumito Okada
- Yashoda Super Speciality hospital , India Ramesh Pandey
- Dongguk University International Hospital , Korea (South) Hee Seok Choi
- UZ GASTHUISBERG , Belgium Johan COOLEN
- Homs National Hospital , Syria Rami Abou Zalaf
- Samsung Medical Center , Korea (South) Dae Kun Oh
- Beaulieu clinic Geneva , Switzerland gilles GENIN
- All India Institute of Medical Sciences , India Ashish Gupta
- clinique de SAVOIE , France, Metropolitan gay-depassier philippe
- KASTURBA MEDICAL COLLEGE , India NAVEEN KULKARNI
- NOUR EL-ISLAM RADIOLOGY CENTER , Egypt Elsayed Mousa
- IRSA La Rochelle France , France Denis Chabassiere
- Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
- Mallinckrodt Institute of Radiology , United States Naganathan Mani
- Trakya University School of Medicine , Turkey Umut Ugur

▶ Semi-Correct Answer : 31/112, 27.7%

- Seoul National University Hospital , Korea (South) Kwang Nam Jin
- SNUH , Korea (South) Youkyung Lee
- McGill University Health Centre , Canada Amr Ajlan
- Trakya Univercity School of Medicine , Turkey Armagan Sarac
- POPOVO HOSPITAL , Bulgaria VLADISLAV RUSINOV
- Osaka University , Japan Osamu Honda
- EKH-Berlin , Germany Michael Weber
- Trakya University School of Medicine, TKE, , Turkey GAR KUTLUTURK
- yashodha hospital , India pravin mahadevappa
- Samsung Medical Center , Korea (South) Eun Kim
- chp st martin , France Mariotte benoit
- , Korea (South) 諛吏
- SMC , Korea (South) Jihoon Cha
- 媛泥 , Korea (South) HYUNHO LEE
- Trakya Univercity School of Medicine, , Turkey BELMA KIYMAZASLAN
- seoul national university hospital , Korea (South) Ijin Joo
- Shinsegye Rad Clinic, Daegu , Korea (South) Gi Beom Kim
- Uzunkopru Hospital, Edirne, Turkey , Turkey Derya Karabulut
- CHRU Lille , France Benjamin Damarey
- Univ. of Miami/Jackson Memorial , United States mantosh rattan
- Asan Medical Center , Korea (South) Seong Yun Kim
- EWHA WOMANS MOKDONG UNIVERSITY HOSPITAL , Korea (South) YOOKYUNG KIM
- Hanmaeum Hospital , Korea (South) Kwon Hyoung Kim
- Command Hospital (Eastern Command) , India Vivek Sharma
- Medical IT Consulting , Japan Kazumasa Nishimura
- CHU Grenoble , France Fabrice Bing
- Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
- McGill University Health Center , Canada Alexandre Semionov
- govt royapettah hospital , India gopinathan kathirvelu
- NASA SCANS , India RAKESH BHATIA
- Ewha Womans University , Korea (South) Ha Ju

대한흉부영상의학회 Korean Society of Thoracic Radiology

Archive of Old Cases

Case No : 589 Date 2009-02-09

Discussion

No. of Applicants : 112