Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report

Abstract Pulmonary hypoplasia is diagnosed during the perinatal period and is a cause of death in newborns. However, these developmental abnormalities are diagnosed in adulthood in some cases. A 70‐year‐old male smoker was diagnosed with stage IIIA pulmonary adenocarcinoma in the right upper lobe wi...

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Main Authors: Takuro Yukawa, Yuta Ishida, Yoshio Naomoto, Yasumasa Monobe, Takuya Fukazawa, Tomoki Yamatsuji
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.14374
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author Takuro Yukawa
Yuta Ishida
Yoshio Naomoto
Yasumasa Monobe
Takuya Fukazawa
Tomoki Yamatsuji
author_facet Takuro Yukawa
Yuta Ishida
Yoshio Naomoto
Yasumasa Monobe
Takuya Fukazawa
Tomoki Yamatsuji
author_sort Takuro Yukawa
collection DOAJ
description Abstract Pulmonary hypoplasia is diagnosed during the perinatal period and is a cause of death in newborns. However, these developmental abnormalities are diagnosed in adulthood in some cases. A 70‐year‐old male smoker was diagnosed with stage IIIA pulmonary adenocarcinoma in the right upper lobe with right middle lobe hypoplasia. He subsequently underwent right upper and middle lobectomy with lymph node dissection by video‐assisted thoracoscopic surgery. In addition to an invasive adenocarcinoma in the right upper lobe, pathological examination of the hypoplastic lobe revealed neuroendocrine hyperplasia, as well as tumorlets and a typical carcinoid. Eight cases of pulmonary neuroendocrine tumors that developed from pulmonary hypoplasia have been reported to date. Interestingly, all but one case occurred in the right middle lobe. Neuroendocrine cell hyperplasia has been reported to develop in hypoplastic lungs postnatally; therefore, we speculated that the lesion was the origin of these neuroendocrine tumors. Moreover, the pathological findings suggested that atelectasis was involved in the pathogenesis of this rare condition. In adults, when lobar hypoplasia is diagnosed, neuroendocrine tumors should be anticipated.
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spelling doaj.art-ab1d78f739604d189061832e705f647c2022-12-22T00:11:16ZengWileyThoracic Cancer1759-77061759-77142022-04-011381227123110.1111/1759-7714.14374Neuroendocrine tumor secondary to pulmonary hypoplasia: A case reportTakuro Yukawa0Yuta Ishida1Yoshio Naomoto2Yasumasa Monobe3Takuya Fukazawa4Tomoki Yamatsuji5Department of General Surgery Kawasaki Medical School Okayama JapanDepartment of General Surgery Kawasaki Medical School Okayama JapanDepartment of General Surgery Kawasaki Medical School Okayama JapanDepartment of Pathology 1 Kawasaki Medical School Okayama JapanDepartment of General Surgery Kawasaki Medical School Okayama JapanDepartment of General Surgery Kawasaki Medical School Okayama JapanAbstract Pulmonary hypoplasia is diagnosed during the perinatal period and is a cause of death in newborns. However, these developmental abnormalities are diagnosed in adulthood in some cases. A 70‐year‐old male smoker was diagnosed with stage IIIA pulmonary adenocarcinoma in the right upper lobe with right middle lobe hypoplasia. He subsequently underwent right upper and middle lobectomy with lymph node dissection by video‐assisted thoracoscopic surgery. In addition to an invasive adenocarcinoma in the right upper lobe, pathological examination of the hypoplastic lobe revealed neuroendocrine hyperplasia, as well as tumorlets and a typical carcinoid. Eight cases of pulmonary neuroendocrine tumors that developed from pulmonary hypoplasia have been reported to date. Interestingly, all but one case occurred in the right middle lobe. Neuroendocrine cell hyperplasia has been reported to develop in hypoplastic lungs postnatally; therefore, we speculated that the lesion was the origin of these neuroendocrine tumors. Moreover, the pathological findings suggested that atelectasis was involved in the pathogenesis of this rare condition. In adults, when lobar hypoplasia is diagnosed, neuroendocrine tumors should be anticipated.https://doi.org/10.1111/1759-7714.14374carcinoidneuroendocrine cell hyperplasiapulmonary hypoplasiatumorlet
spellingShingle Takuro Yukawa
Yuta Ishida
Yoshio Naomoto
Yasumasa Monobe
Takuya Fukazawa
Tomoki Yamatsuji
Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report
Thoracic Cancer
carcinoid
neuroendocrine cell hyperplasia
pulmonary hypoplasia
tumorlet
title Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report
title_full Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report
title_fullStr Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report
title_full_unstemmed Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report
title_short Neuroendocrine tumor secondary to pulmonary hypoplasia: A case report
title_sort neuroendocrine tumor secondary to pulmonary hypoplasia a case report
topic carcinoid
neuroendocrine cell hyperplasia
pulmonary hypoplasia
tumorlet
url https://doi.org/10.1111/1759-7714.14374
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