Pulmonary Typical Carcinoid with Metastases to Pulmonary, Hilar, and Mediastinal Lymph Nodes.

• Momoki Shigeru

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Fukushima Ichiro

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Hoshi Toshiyasu

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Kato Shiro

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Suzuki Hidehiko

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Kishiro Izumi

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Nakamoto Takaaki

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Iizuka Masahiko

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Suzuki Syouji

  Departemtn of Thoracic Surgery, Dokkyo University School of Medicine

• Shimada Kouichiro

  Departemtn of Thoracic Surgery, Dokkyo University School of Medicine

• Hase Tatsuya

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Kuga Hideyo

  First Department of Internal Medicine, Dokkyo University School of Medicine

• Nagai Sensuke

  Departemtn of Thoracic Surgery, Dokkyo University School of Medicine

Bibliographic Information

Other Title

• 肺内転移および肺門・縦隔リンパ節転移を認めた定型的肺カルチノイドの１例

Abstract

A 50-year-old woman was admitted to our hospital complaining of recurrent bloody sputum and hemoptysis. Chest X-ray films showed an infiltrative shadow in the left lower lung field. Chest computed tomograms showed a nodular tumor shadow near the left B⁸ and this tumor shadow was found between A⁸ and A⁹ by pulmonary arteriography. Bronchoscopic examination revealed a red coagulum in the left B⁸ and cytologic examination of broncho alveolar lavage fluid revealed atypical squamous cells. With a clinical diagnosis of squamous cell carcinoma of the lung, a left lower lobectomy with hilar and mediastinal lymph node disection was done. A milk-white tumor was found in the lower lobe of the resected lung. The pathological diagnosis of the resected tissue specimen was carcinoid, accompanied by pulmonary, hilar, and mediastinal lymph node metastases. Reduced immunofluorescence by Chromogranin A and serotonin staining were further evidence that the tumor was atypical.<br>This case is very interesting in that the tumor matastasized to the lung and lymph nodes, even-though it was pathologically typical.

Journal

• The Japanese journal of thoracic diseases

  The Japanese journal of thoracic diseases 34 (4), 494-499, 1996

  The Japanese Respiratory Society

Keywords

• Bronchopulmonary carcinoid
• Lung tumor
• Pulmonary metastases
• Mediastinal lymph node metastases

Details

• CRID: 1390001205017391616
• NII Article ID: 130003679262
• NII Article ID: 10008109670
• NII Book ID: AN00187758
• DOI: 10.11389/jjrs1963.34.494
• COI: 1:STN:280:BymB287hvVw%3D
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 8691675
• Web Site: https://search.jamas.or.jp/link/ui/1997017311
• Text Lang: ja
• Data Source:
  • JaLC
  • PubMed
  • CiNii Articles
• Abstract License Flag: Disallowed