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Case Records of the Massachusetts General Hospital
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Volume 332:110-116 January 12, 1995 Number 2
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Case 1-1995— An elderly man with a questionable bronchial carcinoid tumor of long duration and recently increasing tracheal obstruction
J. LoCicero, and E.J. Mark

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Presentation of Case

An 80-year-old man was admitted to the hospital because of an enlarging lung tumor of long duration, recurrent bouts of postobstructive pneumonia, and recent respiratory distress.

There was a history of a slowly growing mass in the left main bronchus that had first been noted on radiographs of the chest obtained 22 years earlier. The patient refused to undergo a thoracotomy, and the findings at bronchoscopic examination were considered to be consistent with a carcinoid tumor; no biopsy specimen was obtained. During the ensuing 15 years there were no symptoms referable to the mass.

Seven years before admission, the patient . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Joseph LoCicero III's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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