Respir Case Rep. 2020; 9(2): 56-59 | DOI: 10.5505/respircase.2020.68542

Atypical Carcinoid Tumor Located in the Trachea

Emine Afþin¹, Ayperi Ozturk^2
1Department of Chest Diseases, Ýzzet Baysal State Hospital, Bolu, Turkey
²Department of Interventional Pulmonology,Ankara Ataturk Chest Diseases and Chest Surgery Training and Research Hospital, Health Science University,Ankara, Turkey

Carcinoid tumors are evaluated in the neuroendocrine tumor group. While they are more common in the gastrointestinal tract, they may rarely be of bronchial origin. They account for 0.5–1% of all lung cancers, and are usually seen in the young age group. A 78-year-old male patient with a tracheal polypoid lesion was observed at thorax CT. The patient was diagnosed with an atypical carcinoid tumor, and was considered to be inoperable due to his advanced age and severe COPD (FEV1 25%). Due to the extraluminal extension and no metastatic lymph nodes identified radiologically, an Nd: YAG laser was applied and the root of the lesion was cauterized. Complete cure was achieved with an endobronchial treatment approach.

Keywords: atypical carcinoid tumor, endobronchial therapy, trachea

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Trakeal Yerleþimli Atipik Karsinoid Tümör

Emine Afþin¹, Ayperi Ozturk^2
1Ýzzet Baysal Devlet Hastanesi, Göðüs Hastalýklarý Kliniði, Bolu
²Ankara Atatürk Göðüs Hastalýklarý ve Göðüs Cerrahisi Eðitim ve Araþtýrma Hastanesi, Giriþimsel Pulmonoloji Kliniði, Ankara

Karsinoid tümörler nöroendokrin tümör grubunda deðerlendilirler. Gastrointestinal traktusta yerleþimi daha sýk iken nadiren bronþial orjinli de olabilir. Akciðer kanserlerinin %0,5-1’ini oluþturur. Genellikle genç yaþ grubunda görülür. Yetmiþ sekiz yaþýnda, erkek hastada rastlantýsal olarak istenilen toraks bilgisayarlý tomografide trakeal polipoid lezyon izlendi. Atipik karsinoid tümör olarak taný alan hasta ileri yaþý ve aðýr KOAH' ý (FEV1 %25) olmasý nedeniyle inoperabl kabul edildi. Radyolojik olarak ekstraluminal uzanýmý ve metastatik lenf nodu olmamasý üzerine Nd: YAG lazer ve ardýndan lezyon köküne koterizasyon uygulandý. Endobronþial tedavi yaklaþýmý ile tam kür saðlandý.

Anahtar Kelimeler: atipik karsinoid tümör, endobronþial tedavi, trakea

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Image Slices of the Case

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