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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5671195PMC

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Article Synopsis
  • - Bronchial carcinoids are low-grade neuroendocrine tumors that grow slowly and can spread to lymph nodes; the case presented involves one alongside a benign bronchocele, making diagnosis challenging.
  • - Chest CT scan initially identified the endobronchial mass but lacked clear diagnostic insights, leading to an endobronchial biopsy that confirmed it was a lung carcinoid tumor.
  • - A Ga-DOTATOC PET/CT scan provided better evaluation, showing the carcinoid mass with high expression while revealing the benign bronchocele with low expression, emphasizing the role of somatostatin receptor imaging for accurate assessment.
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Early diagnosis of bronchopulmonary carcinoid tumors is crucial as the surgical excision is the main treatment and determines the prognosis. We present the case of a 66-year-old heavy-smoker man who had started to complain about a cough a few months ago. We diagnosed him with an endobronchial mass on a chest computed tomography scan and lobar bronchoceles resulting from mucus plugging distal to the tumor obstruction.

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Atypical carcinoid belongs to a spectrum of neuroendocrine tumors that can present as central airway obstruction. We treated a 58-year-old female who presented with recurrent pneumonia. Flexible bronchoscopy showed complete obstruction of the tumor in the right lower lobe.

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Bronchial carcinoid tumors occur predominantly in the perihilar location and can be asymptomatic. They may present in early stages with only obstructive features such as mucus plugging of airways resulting in bronchocele formation. We report the case of a 44-year lady with no chest complaints, who underwent chest radiograph for a routine preanesthetic checkup.

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Bronchial atresia with calcified bronchocele.

J Bras Pneumol

October 2020

. Universidade Federal do Rio de Janeiro, Rio de Janeiro (RJ) Brasil.

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