A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia

Small cell neuroendocrine carcinoma (SNEC) is a high grade and poorly differentiated neuroendocrine tumor which typically presents as a primary pulmonary neoplasm near the bronchial region. Due to the aggressive nature of the tumor, there are many ways it can initially present, mostly involving the...

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Main Authors: Adreana DeMarinis, Fahad Malik, Tommy Matin, Zalmi Rahmany, Tyler Putnam, Jay Nfonoyim
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2019-07-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2019.1644916
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author Adreana DeMarinis
Fahad Malik
Tommy Matin
Zalmi Rahmany
Tyler Putnam
Jay Nfonoyim
author_facet Adreana DeMarinis
Fahad Malik
Tommy Matin
Zalmi Rahmany
Tyler Putnam
Jay Nfonoyim
author_sort Adreana DeMarinis
collection DOAJ
description Small cell neuroendocrine carcinoma (SNEC) is a high grade and poorly differentiated neuroendocrine tumor which typically presents as a primary pulmonary neoplasm near the bronchial region. Due to the aggressive nature of the tumor, there are many ways it can initially present, mostly involving the lungs. We present a case of a 68-year-old male patient who initially presented with new-onset of severe thrombocytopenia with superimposed pneumonia. It was late in the progression of the disease that histopathology from the bone marrow confirmed SNEC, which presented only after it metastasized to the bone marrow by way of a rare paraneoplastic syndrome. Furthermore, the bone marrow biopsy revealed atypical markers not commonly seen in SNEC. Since this was such an atypical presentation of SNEC, management was limited to stabilization of the patient. The patient expired two weeks later.
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spelling doaj.art-69ecffc35eef448093abccf39de9e7f22023-01-02T04:39:30ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662019-07-019432732910.1080/20009666.2019.16449161644916A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopeniaAdreana DeMarinis0Fahad Malik1Tommy Matin2Zalmi Rahmany3Tyler Putnam4Jay Nfonoyim5Richmond University Medical CenterRichmond University Medical CenterRichmond University Medical CenterRichmond University Medical CenterSt. Joseph HospitalRichmond University Medical CenterSmall cell neuroendocrine carcinoma (SNEC) is a high grade and poorly differentiated neuroendocrine tumor which typically presents as a primary pulmonary neoplasm near the bronchial region. Due to the aggressive nature of the tumor, there are many ways it can initially present, mostly involving the lungs. We present a case of a 68-year-old male patient who initially presented with new-onset of severe thrombocytopenia with superimposed pneumonia. It was late in the progression of the disease that histopathology from the bone marrow confirmed SNEC, which presented only after it metastasized to the bone marrow by way of a rare paraneoplastic syndrome. Furthermore, the bone marrow biopsy revealed atypical markers not commonly seen in SNEC. Since this was such an atypical presentation of SNEC, management was limited to stabilization of the patient. The patient expired two weeks later.http://dx.doi.org/10.1080/20009666.2019.1644916Small cell neuroendocrine carcinomametastaticbone marrowcancer-related microangiopathic hemolytic anemiathrombocytopenia
spellingShingle Adreana DeMarinis
Fahad Malik
Tommy Matin
Zalmi Rahmany
Tyler Putnam
Jay Nfonoyim
A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
Journal of Community Hospital Internal Medicine Perspectives
Small cell neuroendocrine carcinoma
metastatic
bone marrow
cancer-related microangiopathic hemolytic anemia
thrombocytopenia
title A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
title_full A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
title_fullStr A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
title_full_unstemmed A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
title_short A rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
title_sort rare case of metastatic small cell neuroendocrine carcinoma of the lung presenting as isolated thrombocytopenia
topic Small cell neuroendocrine carcinoma
metastatic
bone marrow
cancer-related microangiopathic hemolytic anemia
thrombocytopenia
url http://dx.doi.org/10.1080/20009666.2019.1644916
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