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Case Report
A 14-year-old boy with endobronchial carcinoid tumor presenting with asthma
Yunmo Gu, Youngjin Hwang, Sung Won Kim
Kosin Medical Journal 2017;32(2):221-226.
DOI: https://doi.org/10.7180/kmj.2017.32.2.221
Published online: January 19, 2017

Department of Pediatrics, Busan St. Mary’s Hospital, Busan, Korea

Corresponding Author: Sung Won Kim. Department of Pediatrics, Busan St. Mary’s Hospital, 25-14, Yongho-ro 232 beon-gil, Nam-gu, Busan 48575, Korea Tel: +82-51-933-7981, Fax: +82-51-936-7531, E-mail: sbdph1@daum.net
• Received: August 18, 2015   • Accepted: October 26, 2015

Copyright © 2017 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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