Discussion of interesting or befuddling cases related to pulmonary and critical care medicine.
Friday, April 07, 2006
Radiology Friday. 20 year old female
20 year old presents with cough. What's the abnormality and what's the diagnosis? (Hint: it is not the calcified granuloma that is circled, that would be too easy.)
Bronch showed an endobronchial lesion well demarcated with nice smooth borders. path showed a neoplasm arranged in a nesting and trabecular pattern and the immunohistochemical stains were positive for synaptophysin and chromogranin. FINAL DIAGNOSIS: CARCINOID TUMOR.
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L Mainstem endobronchial lesion... did you see this originally on the CXR. If so, wow! Credit to you and your radiologist.
I'm with ML: easy to spot it on the CT but I would probably have missed it on the CXR.
What did the bronch show?
Bronch showed an endobronchial lesion well demarcated with nice smooth borders.
path showed a neoplasm arranged in a nesting and trabecular pattern and the immunohistochemical stains were positive for synaptophysin and chromogranin.
FINAL DIAGNOSIS: CARCINOID TUMOR.
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