Öz
Bronşiyal karsinoid tümörler, nadir görülen malign nöroendokrin tümörlerdir ve akciğer kanserlerinin %2’sini oluşturur. Başlıca tanı araçları, kontrastlı toraks bilgisayarlı tomografi (BT) ve bronkoskopidir. Erken tanı önemlidir, çünkü cerrahi eksizyon temel tedavi yöntemidir. Yazarlar, literatürdeki en küçük tipik bronşiyal karsinoid tümörü olan 32 yaşında bir erkek hastayı sunmaktadır. Hasta bir aydır göğüs ağrısı ve reküren pnömoni şikayetleriyle başvurdu. Toraks BT’sinde belirsiz 1 cm çapında perihiler kitle görüldü. Pozitron emisyon tomografisi BT’sinde ise sağ alt lob superior segmentinde 18F-FDG tutulumu göstermeyen 1,4 cm büyüklüğünde bir nodül saptandı. Fiberoptik bronkoskopi ile tümör görüntülendi ve ilk biyopsiler alındı. Kesin tanı ve tedavi segmentektomi ile sağlandı. Orta yaş grubundaki, komorbiditeleri olmayan, reküren pnömoni gelişen veya görüntülemesinde küçük hiler ve perihiler kitle görülen hastalara bronkoskopi yapılmalıdır.
Anahtar Kelimeler: Bronkoskopi, bronşiyal karsinoid, FDG PET, kontrastlı BT, tipik karsinoid
Kaynakça
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