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Giant carcinoid tumor mimicking pulmonary sequestration
Guven Olgac1, Farzin Peirovi, Aynur Yilmaz
1Department of Thoracic Surgery, Sureyyapasa Chest Diseases, Chest Surgery Training and Research Hospital, Istanbul, Turkey. guvenolgac@gmail.com
The Annals of Thoracic Surgery
|September 25, 2007
Summary
A rare lung mass with systemic arterial supply, mimicking pulmonary sequestration, was successfully removed. This atypical carcinoid tumor required a complex surgical approach but resulted in a positive patient outcome.
Area of Science:
- Cardiothoracic Surgery
- Pulmonary Medicine
- Surgical Oncology
Background:
- A 42-year-old female presented with a right lower lung mass, previously deemed inoperable due to bleeding during two thoracotomies.
- The mass exhibited an unusual infra-diaphragmatic systemic arterial supply, resembling pulmonary sequestration, but with normal pulmonary venous drainage.
Observation:
- Computed tomographic angiography was crucial in identifying the aberrant vascular supply.
- The diagnostic challenge lay in differentiating this from typical lung masses and managing the associated bleeding risk.
Findings:
- A right lower lobectomy was successfully performed using a hemi-clamshell incision.
- Histopathological analysis confirmed the mass as an atypical carcinoid tumor.
Implications:
- This case highlights the importance of advanced imaging in diagnosing complex thoracic pathologies with atypical vascularization.
- Successful surgical resection of such challenging tumors is feasible, leading to favorable long-term outcomes.