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Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm

A bronchial carcinoid tumor is a rare pulmonary neuroendocrine tumor. This report describes a case where a patient experienced multiple episodes of hemoptysis and dyspnea on exertion over the course of five months. An initial chest X-ray showed an elevated right hemidiaphragm with atelectasis, and a...

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Autores principales: Shah, Mithil, Duong, Brittany, Karnath, Bernard, Nishi, Shawn, Rasmussen, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353324/
https://www.ncbi.nlm.nih.gov/pubmed/37469828
http://dx.doi.org/10.7759/cureus.40586
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author Shah, Mithil
Duong, Brittany
Karnath, Bernard
Nishi, Shawn
Rasmussen, Peter
author_facet Shah, Mithil
Duong, Brittany
Karnath, Bernard
Nishi, Shawn
Rasmussen, Peter
author_sort Shah, Mithil
collection PubMed
description A bronchial carcinoid tumor is a rare pulmonary neuroendocrine tumor. This report describes a case where a patient experienced multiple episodes of hemoptysis and dyspnea on exertion over the course of five months. An initial chest X-ray showed an elevated right hemidiaphragm with atelectasis, and a follow-up chest computed tomography (CT) scan was ordered to further assess this finding. The CT revealed a tumor occluding 90% of the right main stem bronchus lumen. A bronchoscopy with biopsy was then performed, confirming the diagnosis of a pulmonary carcinoid tumor. The patient underwent surgical resection of the tumor, a right upper lobe sleeve lobectomy, and a mediastinal lymph node dissection, resulting in full eradication of the tumor. This case highlights the need for physicians to maintain a broad differential when evaluating a patient with hemoptysis and an elevated diaphragm.
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spelling pubmed-103533242023-07-19 Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm Shah, Mithil Duong, Brittany Karnath, Bernard Nishi, Shawn Rasmussen, Peter Cureus Internal Medicine A bronchial carcinoid tumor is a rare pulmonary neuroendocrine tumor. This report describes a case where a patient experienced multiple episodes of hemoptysis and dyspnea on exertion over the course of five months. An initial chest X-ray showed an elevated right hemidiaphragm with atelectasis, and a follow-up chest computed tomography (CT) scan was ordered to further assess this finding. The CT revealed a tumor occluding 90% of the right main stem bronchus lumen. A bronchoscopy with biopsy was then performed, confirming the diagnosis of a pulmonary carcinoid tumor. The patient underwent surgical resection of the tumor, a right upper lobe sleeve lobectomy, and a mediastinal lymph node dissection, resulting in full eradication of the tumor. This case highlights the need for physicians to maintain a broad differential when evaluating a patient with hemoptysis and an elevated diaphragm. Cureus 2023-06-18 /pmc/articles/PMC10353324/ /pubmed/37469828 http://dx.doi.org/10.7759/cureus.40586 Text en Copyright © 2023, Shah et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Shah, Mithil
Duong, Brittany
Karnath, Bernard
Nishi, Shawn
Rasmussen, Peter
Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm
title Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm
title_full Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm
title_fullStr Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm
title_full_unstemmed Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm
title_short Carcinoid Tumor Presenting as Hemoptysis and Elevated Diaphragm
title_sort carcinoid tumor presenting as hemoptysis and elevated diaphragm
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353324/
https://www.ncbi.nlm.nih.gov/pubmed/37469828
http://dx.doi.org/10.7759/cureus.40586
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