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Ann Thorac Surg 2007;84:1375-1376
© 2007 The Society of Thoracic Surgeons

Case Reports

Giant Carcinoid Tumor Mimicking Pulmonary Sequestration

Guven Olgac, MD, FETCSa,*, Farzin Peirovi, MDc, Aynur Yilmaz, MDb, Cemal Asim Kutlu, MD, FETCSa

a Department of Thoracic Surgery, Sureyyapasa Chest Diseases, Chest Surgery Training and Research Hospital, Istanbul, Turkey
b Department of Histopathology, Sureyyapasa Chest Diseases, Chest Surgery Training and Research Hospital, Istanbul, Turkey
c Medica Imaging Center, Istanbul, Turkey

Accepted for publication May 14, 2007.

* Address correspondence to Dr Olgac, Acibadem Mah. Tekin Sok. No: 19, Baris Sitesi, D-Blok, Daire: 8, Kadikoy, Istanbul, 34718, Turkey (Email: guvenolgac{at}gmail.com).

A 42-year-old woman who previously underwent two consecutive thoracotomies for a lower lobe mass in her right lung was referred to our clinic for further management. Both procedures were abandoned due to excessive bleeding. Computed tomographic angiography demonstrated an infra-diaphragmatic systemic arterial supply of the mass similar to pulmonary sequestration. However the lobe had a normal venous drainage to the left atrium. Then a right lower lobectomy was undertaken through a hemi-clamshell incision, and histopathology revealed an atypical carcinoid tumor. The patient was discharged home after a satisfactory postoperative period. She still remains disease free at 14 months follow-up.






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