IMAGES IN THORAX
Broncholithiasis mimicking a bronchial carcinoid tumour
1 University Federico II, School of Medicine, Naples, Italy
2 Istituto Clinico Pineta Grande, Castelvolturno (CE), Italy
Correspondence to:
Dr P Stassano, University Federico II, School of Medicine, Naples, Italy; pstassano@libero.it
Accepted 3 September 2008
| The first 150 words of the full text of this article appear below. |
A 29-year-old woman was transferred to our unit with a diagnosis of bronchial carcinoid tumour. She complained of chest pain, dyspnoea, cough and haemoptysis. She smoked 20 cigarettes per day and denied any history of tuberculosis, histoplamosis or occupational exposure and her family history was strongly positive for cancer. She had undergone a contrast-enhanced CT scan of the chest in the endocrinology unit which showed a partially calcified mass in the left hilum (fig 1A, arrow). Further pulmonary scintigraphy with 111In-octreotide showed a concentration of the isotope in the left hilar region (fig 1B, arrow) and a positron emission tomographic scan with 18F-FDG (FDG-PET) showed that the mass had an uptake suggestive of bronchial carcinoid tumour (fig 1C, arrow). Carcinoembryonal antigen (CEA) and tissue-specific polypeptide (TSP) levels were 7.9 ng/ml (normal 0–4) and 122.0 U/l (normal 0–80), respectively. Fibreoptic bronchoscopy revealed a pedunculated mass
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