Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound

A 51-year-old woman with severe asthma underwent bronchoscopy and endobronchial ultrasound (EBUS) for investigation of a 15-mm peripheral lung nodule. Histology demonstrated a typical carcinoid tumor. Pulmonary location is the second commonest site for carcinoid tumors. Diagnosis of peripheral carci...

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Main Authors: Steinfort Daniel, Finlay Moira, Irving Louis
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Annals of Thoracic Medicine
Subjects:
Online Access:http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2008;volume=3;issue=4;spage=146;epage=148;aulast=Steinfort
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author Steinfort Daniel
Finlay Moira
Irving Louis
author_facet Steinfort Daniel
Finlay Moira
Irving Louis
author_sort Steinfort Daniel
collection DOAJ
description A 51-year-old woman with severe asthma underwent bronchoscopy and endobronchial ultrasound (EBUS) for investigation of a 15-mm peripheral lung nodule. Histology demonstrated a typical carcinoid tumor. Pulmonary location is the second commonest site for carcinoid tumors. Diagnosis of peripheral carcinoid tumor of the lung is difficult due to its small size, poor accuracy of cytologic diagnosis, and low sensitivity of positron emission tomography in detecting it. EBUS has a high diagnostic yield and a low complication rate in the evaluation of small solitary pulmonary nodules. The ultrasound appearance of carcinoid tumors is identical to that of lung carcinomas. Prompt diagnosis of carcinoid tumor is desirable as regional lymph node metastasis is seen in 10% of patients and is associated with a reduced 5-year survival. We feel that, where possible, all patients presenting with solitary pulmonary nodules should be investigated initially using EBUS due to its high diagnostic rate and the very low incidence of adverse events.
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spelling doaj.art-5279f6b897734437a6b175e08758f0372022-12-21T18:32:17ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-35572008-01-0134146148Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasoundSteinfort DanielFinlay MoiraIrving LouisA 51-year-old woman with severe asthma underwent bronchoscopy and endobronchial ultrasound (EBUS) for investigation of a 15-mm peripheral lung nodule. Histology demonstrated a typical carcinoid tumor. Pulmonary location is the second commonest site for carcinoid tumors. Diagnosis of peripheral carcinoid tumor of the lung is difficult due to its small size, poor accuracy of cytologic diagnosis, and low sensitivity of positron emission tomography in detecting it. EBUS has a high diagnostic yield and a low complication rate in the evaluation of small solitary pulmonary nodules. The ultrasound appearance of carcinoid tumors is identical to that of lung carcinomas. Prompt diagnosis of carcinoid tumor is desirable as regional lymph node metastasis is seen in 10% of patients and is associated with a reduced 5-year survival. We feel that, where possible, all patients presenting with solitary pulmonary nodules should be investigated initially using EBUS due to its high diagnostic rate and the very low incidence of adverse events.http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2008;volume=3;issue=4;spage=146;epage=148;aulast=SteinfortPulmonary carcinoid tumorendobronchial ultrasoundsolitary pulmonary nodule
spellingShingle Steinfort Daniel
Finlay Moira
Irving Louis
Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
Annals of Thoracic Medicine
Pulmonary carcinoid tumor
endobronchial ultrasound
solitary pulmonary nodule
title Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
title_full Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
title_fullStr Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
title_full_unstemmed Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
title_short Diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
title_sort diagnosis of peripheral pulmonary carcinoid tumor using endobronchial ultrasound
topic Pulmonary carcinoid tumor
endobronchial ultrasound
solitary pulmonary nodule
url http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2008;volume=3;issue=4;spage=146;epage=148;aulast=Steinfort
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