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Lung Cancer: Student/Resident Case Report Poster - Lung Cancer II |

Pulmonary Carcinoid in an 18 Year Old With VACTERL Association; Case Report and Literature Review

Dale Railwah, MBBS; Kerri Bally, MBBS; Miguel Ramirez, MD
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SUNY Downstate Medical Center, Brookyn, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):756A. doi:10.1016/j.chest.2016.08.851
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SESSION TITLE: Student/Resident Case Report Poster - Lung Cancer II

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: VACTERL association is not known to be a predisposing factor to malignancy. We present a rare case of carcinoid tumor presenting in a young, man with VACTERL.

CASE PRESENTATION: An 18-year-old black male with a history of right-sided hydronephrosis with right nephrectomy at 7months old, clubbed feet, scoliosis and patent VSD presented to SUNY Downstate Medical Center with intermittent hemoptysis for four months. Physical exam demonstrated scoliosis and a grade 3/6 pansystolic murmur. Labs were unremarkable. CT of the chest revealed a 2.3cm right peribronchial mass with an endobronchial component eroding into the bifurcation of the bronchus intermedius. Subsequent bronchoscopy and biopsy of the mass revealed epithelial cells in a chondromyxoid stroma suggestive of a pleomorphic adenoma. Video -Assisted Thorascopic surgery (VATS) and bilobectomy of the right middle and lower lung lobes provided surgical histology, which confirmed the diagnosis of Typical Carcinoid tumor. Somatostatin Receptor Scintigraphy (SRS) showed no evidence of residual tumor or metastases.

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