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Disseminated typical bronchial carcinoid tumor
Dobrivoje Novković1, Vesna Skuletić, Jelena Vuković
1Clinic for Lung Diseases, Military Medical Academy, Belgrade, Serbia. dobrivojenovkovic@yahoo.com
Vojnosanitetski Pregled
|June 25, 2013
Summary
A rare typical bronchial carcinoid lung tumor, usually asymptomatic and detected incidentally, presented with unusual liver and skeletal metastasis. This case highlights the diagnostic challenges of bronchial carcinoids.
Area of Science:
- Pulmonology
- Oncology
- Pathology
Background:
- Bronchial carcinoids are rare neuroendocrine lung tumors.
- Typical carcinoids rarely metastasize and are often asymptomatic.
- Diagnosis frequently occurs during routine examinations.
Observation:
- A 65-year-old patient presented with a typical bronchial carcinoid.
- The tumor, detected during a routine exam, showed dissemination to the liver and skeletal system.
- This metastatic pattern is highly unusual for typical carcinoids.
Findings:
- Morphological and pathohistological analysis confirmed a typical bronchial carcinoid.
- Immunohistochemical staining supported the neuroendocrine tumor classification.
- The case demonstrated an atypical clinical course with distant metastases.
Implications:
- Bronchial carcinoids, despite typical morphology, can exhibit rare metastatic behavior.
- Asymptomatic presentation and varied manifestations pose diagnostic challenges.
- A multidisciplinary approach is crucial for managing bronchial carcinoid cases.
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