Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Endobronchial Carcinoid Tumor Treated by Flexible Bronchoscopic Resection

기관지내시경 절제술로 치료한 기관지 카르시노이드 종양 1예

  • Na, Yong-Sub (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Yoon, Sung-Ho (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Lee, Seung-Il (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Kwon, Yong-Eun (Department of Internal Medicine, Chosun University College of Medicine)
  • 나용섭 (조선대학교 의과대학 내과학교실) ;
  • 윤성호 (조선대학교 의과대학 내과학교실) ;
  • 이승일 (조선대학교 의과대학 내과학교실) ;
  • 권용은 (조선대학교 의과대학 내과학교실)
  • Received : 2011.04.05
  • Accepted : 2011.05.07
  • Published : 2011.06.30
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Abstract

Bronchial carcinoid tumor accounts for less than 5% of all primary lung tumors in adults. Although surgical resection is the treatment of choice, here we report a case of bronchial carcinoid tumor treated with flexible bronchoscopic resection. A 19-year-old-man presented with a history of wheezing with dyspnea for six months. A simple chest x-ray showed no abnormal findings, but a pulmonary function test showed a moderate obstructive lung disease pattern without a bronchodilator response. A computed tomogram of the thorax revealed an enhanced $15{\times}12$ mm nodule in the left main bronchus. Bronchoscopic examination showed a polypoid mass with a stalk in the left main bronchus, which almost completely occluded the left main bronchus. Histopathology of the resected specimen revealed a bronchial carcinoid tumor. We treated the carcinoid tumor with a flexible bronchoscopic resection. During the follow up period of 6 months, the previous tumor didn't relapse. Initial bronchoscopic resection should be considered when bronchial carcinoid tumor can be approached by bronchoscopy.

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References

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