CTICasesEndobronchial Typical Carcinoid
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Imaging findings
Chest radiography shows unilateral left lung hyperlucency. Chest CT reveals a hyperenhancing, well-defined endobronchial mass in the left main bronchus causing partial obstruction and air trapping, which is beautifully visualized on virtual bronchoscopy and coronal maximum intensity projection images.
Key takeaways
Endobronchial typical carcinoid is a slow-growing neuroendocrine tumor that should be considered in young patients presenting with a history of wheezing, hemoptysis, or unilateral transradiancy on chest radiographs. In young patients, cryotherapy can be used to debulk the lesion endobronchially prior to a sleeve resection to maximize lung-sparing surgery and avoid pneumonectomy.
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