A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor
Representing a mere 2–5% of the total thymic malignancies and 0.4% of total carcinoid tumors, primary thymic neuroendocrine tumors (NETs) are the zebras of the thymic neoplasms. They were initially characterized as ‘epithelial thymomas’; later, the term carcinoid tumors was coined by Rosai and Higa....
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2018-01-01
|
| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2018.1428022 |
| _version_ | 1797973004553027584 |
|---|---|
| author | Jibran Durrani Faizan Malik Naveed Ali Syed Imran Mustafa Jafri Mohsin Hamid |
| author_facet | Jibran Durrani Faizan Malik Naveed Ali Syed Imran Mustafa Jafri Mohsin Hamid |
| author_sort | Jibran Durrani |
| collection | DOAJ |
| description | Representing a mere 2–5% of the total thymic malignancies and 0.4% of total carcinoid tumors, primary thymic neuroendocrine tumors (NETs) are the zebras of the thymic neoplasms. They were initially characterized as ‘epithelial thymomas’; later, the term carcinoid tumors was coined by Rosai and Higa. These tumors are highly unpredictable in their presentation and prognosis. Coupled with variable clinical presentation, rare pathologic diagnosis and absence of diagnostic and prognostic parameters, it is a challenge for both patients and clinicians. Treatment entails local definitive therapy, symptom control and systemic chemoradiation given either pre or post operatively based on staging and resectability. We hereby report a peculiar case of psychosis that likely resulted from one such rare tumor. |
| first_indexed | 2024-04-11T03:57:32Z |
| format | Article |
| id | doaj.art-8e461e124c2745b6aebdd74347b3458c |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:57:32Z |
| publishDate | 2018-01-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-8e461e124c2745b6aebdd74347b3458c2023-01-02T00:15:24ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662018-01-0181384110.1080/20009666.2018.14280221428022A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumorJibran Durrani0Faizan Malik1Naveed Ali2Syed Imran Mustafa Jafri3Mohsin Hamid4Jeanes Hospital, Temple University Hospital affiliateJeanes Hospital, Temple University Hospital affiliateJeanes Hospital, Temple University Hospital affiliateJeanes Hospital, Temple University Hospital affiliateJeanes Hospital, Temple University Hospital affiliateRepresenting a mere 2–5% of the total thymic malignancies and 0.4% of total carcinoid tumors, primary thymic neuroendocrine tumors (NETs) are the zebras of the thymic neoplasms. They were initially characterized as ‘epithelial thymomas’; later, the term carcinoid tumors was coined by Rosai and Higa. These tumors are highly unpredictable in their presentation and prognosis. Coupled with variable clinical presentation, rare pathologic diagnosis and absence of diagnostic and prognostic parameters, it is a challenge for both patients and clinicians. Treatment entails local definitive therapy, symptom control and systemic chemoradiation given either pre or post operatively based on staging and resectability. We hereby report a peculiar case of psychosis that likely resulted from one such rare tumor.http://dx.doi.org/10.1080/20009666.2018.1428022Neuroendocrine tumorsThymuspsychosiscortisol |
| spellingShingle | Jibran Durrani Faizan Malik Naveed Ali Syed Imran Mustafa Jafri Mohsin Hamid A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor Journal of Community Hospital Internal Medicine Perspectives Neuroendocrine tumors Thymus psychosis cortisol |
| title | A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor |
| title_full | A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor |
| title_fullStr | A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor |
| title_full_unstemmed | A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor |
| title_short | A case of madness resulting in a fortunate outcome; case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor |
| title_sort | case of madness resulting in a fortunate outcome case report of a psychotic break as a result of cortisol secreting thymic neuroendocrine thymic tumor |
| topic | Neuroendocrine tumors Thymus psychosis cortisol |
| url | http://dx.doi.org/10.1080/20009666.2018.1428022 |
| work_keys_str_mv | AT jibrandurrani acaseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT faizanmalik acaseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT naveedali acaseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT syedimranmustafajafri acaseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT mohsinhamid acaseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT jibrandurrani caseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT faizanmalik caseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT naveedali caseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT syedimranmustafajafri caseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor AT mohsinhamid caseofmadnessresultinginafortunateoutcomecasereportofapsychoticbreakasaresultofcortisolsecretingthymicneuroendocrinethymictumor |