Garg Rajiv, Kumar Rahul, Singh Pradyumn, Kshetrimayum Silpa
Department of Respiratory Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.
Department of Pathology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Lung India. 2019 May-Jun;36(3):236-238. doi: 10.4103/lungindia.lungindia_111_16.
Carcinoids account for approximately 2% of all lung tumors, and the atypical carcinoids (ACs) are much rarer than typical carcinoid. Here, we report a rare case of AC tumor of the lung. A 50-year-old female patient presented with left-sided chest pain for 1 year, cough for 6 months, and loss of appetite for 6 months. Contrast-enhanced computed tomography scan of the thorax revealed an ill-defined heterogeneously enhancing soft-tissue attenuation lesion in the mediastinum following which transthoracic biopsy was done. Histomorphology and immunohistochemistry were consistent with AC, a neuroendocrine tumor. Combination chemotherapy consisting of cisplatin and etoposide was administered as initial chemotherapy.
类癌约占所有肺肿瘤的2%,非典型类癌(ACs)比典型类癌更为罕见。在此,我们报告一例罕见的肺AC肿瘤病例。一名50岁女性患者出现左侧胸痛1年、咳嗽6个月、食欲不振6个月。胸部增强计算机断层扫描显示纵隔内有一个边界不清、不均匀强化的软组织密度病变,随后进行了经胸活检。组织形态学和免疫组化结果与AC(一种神经内分泌肿瘤)一致。以顺铂和依托泊苷组成的联合化疗作为初始化疗方案。