Abstract
A seventy-seven years old female suffering from back pain has been hospitalized. A mass lesion with dimensions of 5.5x3.5x5 cm obliterating the intermediate bronchus with significant volume depletion in the lower lobe of right lung and metastatic lesions in thoracic 7th, 8th and 12th vertebrae was observed at computed chest tomography.
Endobronchial lesion obliterating the right intermediate bronchus was observed at fiberoptic bronchoscopy. Histopathologic examination of the mass was diagnosed as carcinoid tumor. Serum and urine 5-hydroxy indol acetic acid (5-HIAA) levels were within normal range. Thoracolomber spinal magnetic resonance imaging (MRI) revealed pressure upon the medulla spinalis and the patient underwent laminotomy and thoracic hemilamenectomy operation. The patient received chemoradiotherapy diagnosed as atypical carcinoid tumor infiltration with T6 vertebra excitional biopsy.
- © 2011 ERS