A 14-year-old boy with endobronchial carcinoid tumor presenting with asthma

Yunmo Gu; Youngjin Hwang; Sung Won Kim

doi:10.7180/kmj.2017.32.2.221

Articles

Page Path: HOME > Kosin Med J > Volume 32(2); 2017 > Article

Case Report A 14-year-old boy with endobronchial carcinoid tumor presenting with asthma: Yunmo Gu, Youngjin Hwang, Sung Won Kim; Kosin Medical Journal 2017;32(2):221-226.
DOI: https://doi.org/10.7180/kmj.2017.32.2.221
Published online: January 19, 2017

Department of Pediatrics, Busan St. Mary’s Hospital, Busan, Korea

Corresponding Author: Sung Won Kim. Department of Pediatrics, Busan St. Mary’s Hospital, 25-14, Yongho-ro 232 beon-gil, Nam-gu, Busan 48575, Korea Tel: +82-51-933-7981, Fax: +82-51-936-7531, E-mail: sbdph1@daum.net

• Received: August 18, 2015 • Accepted: October 26, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

883 Views
2 Download

Full Article

Download PDF

Abstract
References

Abstract

Introduction
Bronchial carcinoid tumors seldom occur in children, sometimes mistaken for a minor disease and diagnosed slowly. Materials and Methods: We report on a patient who diagnose tumors slowly because confused with asthma.
Results
This case describes a 14-year-old boy, presenting with asthma-like symptoms throughout 3 years. He was treated as asthma but wax and wane. Chest x-ray showed an hyperlucent left lung, so we rechecked high resolution computed tomography (HRCT) for unilateral hyperinflation diseases diagnosis. It was found 1×1㎝ nodule in left main bronchus. We did bronchoscopy and discovered a round mass in the left bronchus, 2∼3㎝ away from carina. In the biopsy, it was bronchial carcinoid tumor, so we resected tumor.
Discussion
Because symptoms of bronchial carcinoid tumors are various, it can often be misdiagnosed firstly. It is confused with asthma, pneumonia and foreign body. An additional examination were necessary when respiratory symptoms persist.
Keywords: Bronchial; Carcinoid; Tumor

Fig. 1.

Spirometry shows obstructive lung disease with hypersensitivity of air way.

Fig. 2.

Chest x-ray shows both lung hyperinflation with Left lung hyperlucent lung field.

Fig. 3.

High resolution computed tomography (HRCT) shows an endobronchial nodule in Left main brohcus (1 x 1 cm).

Fig. 4.

Bronchoscopy before surgery shows a tumor obstructed left main bronchus from carina.

Fig. 5.

Bronchoscopy after surgery shows bronchus resected a tumor.

References

1.Lal DR, Clark I, Shalkow J, Downey RJ, Shorter NA, Klimstra DS, et al. Primary epithelial lung malignancies in the pediatric population. Pediatr Blood Cancer 2005;45:683–6.Article PubMed
2.Hauso O, Gustafsson BI, Kidd M, Waldum HL, Drozdov I, Chan AKC, et al. Neuroendocrine tumor epidemiology: contrasting Norway and North America. Cancer 2008;113:2655–64.Article PubMed
3.Wang LT, Wilkins EW Jr, Bode HH. Bronchial carcinoid tumors in pediatric patients. chest 1993;103:1426–8.Article PubMed
4.Eyssartier E, Ang P, Bonnemaison E, Gibertini I, Diot P, Carpentier E, et al. Characteristics of Endobronchial Primitive Tumors in Children. Pediatric Pulmonol 2014;49:121–5.Article
5.Skuladottir H, Hirsch FR, Hansen HH, Olsen JH. Pulmonary neuroendocrine tumors: incidence and prognosis of histological subtypes. A population-based study in Denmark. Lung Cancer 2002;37:127–35.Article PubMed
6.Divisi D, Crisci R. Carcinoid tumors of the lung and multimodal therapy. Thorac Cardiovasc Surg 2005;53:168–72.Article PubMed
7.Fink G, Krelbaum T, Yellin A, Bendayan D, Saute M, Glazer M, et al. Pulmonary carcinoid: pre- sentation, diagnosis, and outcome in 142 cases in Israel and review of 640 cases from the literature. Chest 2001;119:1647–51.Article PubMed
8.Kulke MH, Mayer RJ. Carcinoid tumors. N Engl J Med 1999;340:858–68.Article PubMed
9.Travis WBThe concept of pulmonary neuroendocrine tumors. In: Travis WB, Brambilla E, Muller-Hermeli HK, Harris CCeditors.., editors. Pathology and genetics of tumours of lung, pleura, thymus, and heart. Lyon: IARC Press; 2004. p. 19–20.
10.Steven RBGlenna BW. Emphysema and Overinflation. In: Robert MK, Bonita FS, Joseph WS, Nina FS, Richard EBeditors.., editors. Nelson Textbook of Pediatrics. 19th ed.Philadelphia: Elsevier saunders; 2011. p. 1460–1461.

Figure & Data

References

Citations

Citations to this article as recorded by

PubReader
ePub Link
Cite

CITE

export Copy Format

Close

Download Citation

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

A 14-year-old boy with endobronchial carcinoid tumor presenting with asthma

Kosin Med J. 2017;32(2):221-226. Published online January 19, 2017

DOI: https://doi.org/10.7180/kmj.2017.32.2.221

XML Download

Figure