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A Traditional Chinese Medicine Characteristic Therapy for Bronchial Asthma: Moxibustion
Published on: May 12, 2023
Facial flushing due to recurrent bronchial carcinoid
Somshekar Ganti1, Richard Milton, Leslie Davidson
1Department of Thoracic Surgery, St. James University Hospital, Leeds, United Kingdom. gantisom@hotmail.com
The Annals of Thoracic Surgery
|February 20, 2007
Summary
Carcinoid syndrome is a rare complication of bronchial carcinoid tumors, typically seen with metastasis. This case highlights a patient with late-onset carcinoid syndrome due to tumor recurrence.
Area of Science:
- Oncology
- Pulmonology
- Endocrinology
Background:
- Bronchial carcinoid tumors are rare neuroendocrine neoplasms.
- Carcinoid syndrome, characterized by flushing and diarrhea, is an infrequent manifestation of bronchial carcinoid, occurring in 2-7% of cases.
- It is often associated with metastatic disease, particularly in the liver.
Observation:
- A patient presented with flushing attacks 13 years post-left pneumonectomy.
- The patient had a history of bronchial carcinoid tumor.
- No initial signs of carcinoid syndrome were present at the time of the original tumor diagnosis or surgery.
Findings:
- Recurrence of the bronchial carcinoid tumor was identified.
- Tumor recurrence was located at the pneumonectomy stump.
- Metastasis to the subcarinal lymph nodes was also confirmed.
Implications:
- This case underscores the possibility of late-onset carcinoid syndrome in patients with a history of bronchial carcinoid.
- It highlights the importance of long-term surveillance for tumor recurrence, even years after treatment.
- Recurrence at the surgical stump and nodal involvement can lead to symptomatic carcinoid syndrome without distant hepatic metastasis.
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