A Case of Endobronchial Carcinoid Tumor Treated by Flexible Bronchoscopic Resection.

Na, Yong Sub; Yoon, Sung Ho; Lee, Seung Il; Kwon, Yong Eun

doi:2011.70.6.516

Tuberc Respir Dis > Volume 70(6); 2011 > Article

Case Report

Tuberculosis and Respiratory Diseases 2011;70(6):516-520.
DOI: https://doi.org/10.4046/trd.2011.70.6.516 Published online June 1, 2011.

A Case of Endobronchial Carcinoid Tumor Treated by Flexible Bronchoscopic Resection.

Yong Sub Na, Sung Ho Yoon, Seung Il Lee, Yong Eun Kwon

Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea. allergist@chosun.co.kr

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 15x12 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.

Key Words: Carcinoid Tumor, therapy, Bronchoscopy, Bronchoscopic Surgical Procedures