Atypical Carcinoid Tumor of the Lung: Report of a Case with Intrapulmonary Metastasis

Satoshi NAKASHIMA; Tomayoshi HAYASHI; Kazuto ASHIZAWA; Kuniko ABE; Naoe KINOSHITA; Masanobu ANAMI; Fumiaki NONAKA; Chieko TANEDA; Tsutomu TAGAWA; Yoichi NAKAMURA; Takeshi NAGAYASU; Shigeru KOHNO

doi:10.11343/amn.53.69

CASE REPORT

Atypical Carcinoid Tumor of the Lung: Report of a Case with Intrapulmonary Metastasis

Satoshi NAKASHIMA, Tomayoshi HAYASHI, Kazuto ASHIZAWA, Kuniko ABE, Naoe KINOSHITA, Masanobu ANAMI, Fumiaki NONAKA, Chieko TANEDA, Tsutomu TAGAWA, Yoichi NAKAMURA, Takeshi NAGAYASU, Shigeru KOHNO

Author information

Satoshi NAKASHIMA
Department of Pathology, Nagasaki University Hospital
Tomayoshi HAYASHI
Department of Pathology, Nagasaki University Hospital
Kazuto ASHIZAWA
Clinical Oncology Center, Nagasaki University Hospital
Kuniko ABE
Department of Pathology, Nagasaki University Hospital
Naoe KINOSHITA
Department of Pathology, Nagasaki University Hospital
Masanobu ANAMI
Department of Pathology, Nagasaki University Hospital
Fumiaki NONAKA
Department of Pathology, Nagasaki University Hospital
Chieko TANEDA
Department of Pathology, Nagasaki University Hospital
Tsutomu TAGAWA
Division of Surgical Oncology, Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Science
Yoichi NAKAMURA
Second Department of Internal Medicine, Nagasaki University Hospital
Takeshi NAGAYASU
Division of Surgical Oncology, Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Science
Shigeru KOHNO
Second Department of Internal Medicine, Nagasaki University Hospital

Keywords: Atypical carcinoid, Metastasis, Lung

JOURNAL FREE ACCESS

2009 Volume 53 Issue 3 Pages 69-72

DOI https://doi.org/10.11343/amn.53.69

Details

Abstract

A 71-year-old man was noted to have a nodular opacity in S8 of the right lung. Thirteen months later, the chest CT showed a lesion “gloved finger shape” with focal calcification, and a small nodular opacity appeared in right S7. A right lower lobectomy was performed under video-assisted thoracic surgery. The tumor filled the S8 bronchus, with invasion into the pulmonary parenchyma and S7 metastasis. Mitotic figures were seen in 5 of 10 high power fields. Positive staining for chromogranin A and synaptophysin led to the diagnosis of atypical carcinoid. The patient has been disease-free without treatment for 9 months.

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