Hakan İMAMOĞLU, İsa DÖNGEL, Mehmet BAYRAM

Bronchial carcinoid tumor with vascular supply from thoracic aorta

Bronşiyal karsinoid tümörleri, trakeobronşiyal ağaçtümörlerinin yaklaşık %1’ini oluşturan nöroendokrin tümörleridir. Belirtileri tümörün yeri, boyutu veya salgılanan nöroendokrin hormonlara bağlıdır. Bu yazıda,nefes darlığı, retrosternal ağrı ve astım benzeri semptomları ile başvuran 48 yaşında kadın bir olgu sunuldu.Bilgisayarlı tomografisinde torasik aorttan kaynaklananaberan arteriyel kanlanması olan ve santral konumdabulunan kitle lezyonu saptandı. Bronkoskopide endob-ronşiyal lezyon saptanmadı. Sol torakotomi ile aberan arter ligate edildi ve kesildi. Sol alt lobektomi ve medi-astinal lenf nodu diseksiyonu yapıldı. Histopatolojik incelemede lenf nodu tutulumu olmayan tipik karsinoidtümör saptandı. Hasta 21 aylık takip sonrasında nükssüz ve klinik olarak iyi idi.

Torasik aorttan kanlanan bronşiyal karsinoid tümör

Bronchial carcinoid tumors are neuroendocrine tumorswhich account for approximately 1% of tracheobronchialtree tumors. Symptoms depend on localization and size oftumor or secreting neuroendocrine hormones. In this article,we report a 48-year-old female case who was admittedwith dyspnea, retrosternal pain and asthma-like symptoms.Computed tomography revealed a centrally located masslesion with vascular supply from an aberrant artery arisingfrom the thoracic aorta. No endobronchial lesion was presenton bronchoscopy. Left thoracotomy was performed andaberrant artery was ligated and cut. Left lower lobectomyand mediastinal lymph node dissection were performed.Histopathological examination revealed a typical carcinoidtumor without lymph node invasion. After a 21-monthfollow-up, she is clinically well without recurrence.

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