Journal List > Kosin Med J > v.32(2) > 1057096

Gu, Hwang, and Kim: A 14-year-old boy with endobronchial carcinoid tumor presenting with asthma

Abstract

Introduction

Bronchial carcinoid tumors seldom occur in children, sometimes mistaken for a minor disease and diagnosed slowly. Materials and Methods: We report on a patient who diagnose tumors slowly because confused with asthma.

Results

This case describes a 14-year-old boy, presenting with asthma-like symptoms throughout 3 years. He was treated as asthma but wax and wane. Chest x-ray showed an hyperlucent left lung, so we rechecked high resolution computed tomography (HRCT) for unilateral hyperinflation diseases diagnosis. It was found 1×1㎝ nodule in left main bronchus. We did bronchoscopy and discovered a round mass in the left bronchus, 2∼3㎝ away from carina. In the biopsy, it was bronchial carcinoid tumor, so we resected tumor.

Discussion

Because symptoms of bronchial carcinoid tumors are various, it can often be misdiagnosed firstly. It is confused with asthma, pneumonia and foreign body. An additional examination were necessary when respiratory symptoms persist.

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Fig. 1.
Spirometry shows obstructive lung disease with hypersensitivity of air way.
kmj-32-221f1.tif
Fig. 2.
Chest x-ray shows both lung hyperinflation with Left lung hyperlucent lung field.
kmj-32-221f2.tif
Fig. 3.
High resolution computed tomography (HRCT) shows an endobronchial nodule in Left main brohcus (1 x 1 cm).
kmj-32-221f3.tif
Fig. 4.
Bronchoscopy before surgery shows a tumor obstructed left main bronchus from carina.
kmj-32-221f4.tif
Fig. 5.
Bronchoscopy after surgery shows bronchus resected a tumor.
kmj-32-221f5.tif
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