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Case Rep Med. 2016;2016:5984671. doi: 10.1155/2016/5984671. Epub 2016 Aug 16.

Endobronchial Carcinoid Tumour with Extensive Ossification: An Unusual Case Presentation.

Case reports in medicine

Allison Osmond, Emily Filter, Mariamma Joseph, Richard Inculet, Keith Kwan, David McCormack

Affiliations

  1. Department of Anatomic Pathology, Western University, London, ON, Canada N6A 5C1.
  2. Department of Anatomic Pathology, Dalhousie University, Halifax, NS, Canada B3H 4R2.
  3. Department of Thoracic Surgery, Western University, London, ON, Canada N6A 5C1.
  4. Department of Medicine, Western University, London, ON, Canada N6A 5C1.

PMID: 27610135 PMCID: PMC5004033 DOI: 10.1155/2016/5984671

Abstract

Carcinoid tumour is a well-known primary endobronchial lung neoplasm. Although calcifications may be seen in up to 30% of pulmonary carcinoid tumours, near complete ossification of these tumours is an unusual finding. Such lesions can prove diagnostically challenging at the time of intraoperative frozen section as the latter technique requires thin sectioning of the lesion for microscopic assessment. We present an unusual case of endobronchial carcinoid tumour with extensive ossification in a 45-year-old male. Preliminary intraoperative diagnosis was achieved through the alternative use of cytology scrape smears. The final diagnosis was confirmed after decalcification of the tumour. The prognostic implications of heavily ossified carcinoid tumours remain elusive. Long-term clinical follow-up of these patients is recommended.

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