Central Airway Carcinoid Tumorlets Following Resection of a Typical Carcinoid Tumor

TL;DR

This paper reports a rare case of carcinoid tumorlets in the central airways following a previous lung tumor resection, highlighting their potential for late recurrence.

Contribution

The paper presents a unique clinical case of centrally located carcinoid tumorlets after a prior carcinoid tumor resection.

Findings

Carcinoid tumorlets were found in the left main bronchus five years after a lobectomy for a typical carcinoid tumor.

Histopathology confirmed the presence of carcinoid tumorlets in the central airway.

The case emphasizes the need for long-term monitoring due to the potential for late recurrence and atypical localization.

Abstract

Pulmonary neuroendocrine proliferations and neoplasms represent a broad spectrum of diseases, ranging from neuroendocrine cell hyperplasia and tumorlets to carcinoid tumors. Carcinoid tumorlets are most commonly located in the peripheral airways and are often incidentally detected as pulmonary micronodules on chest CT. We report the radiological, bronchoscopic, and pathological findings of a case of carcinoid tumorlets presenting as endobronchial nodules in the left main bronchus. The patient had previously undergone a left lower lobectomy five years earlier for a typical carcinoid tumor. Follow-up imaging revealed new endobronchial nodules, which were subsequently confirmed as carcinoid tumorlets through histopathologic analysis. This case highlights the rare presentation of carcinoid tumorlets in the central airways, emphasizing the importance of recognizing their potential for late recurrence and atypical localization. It underscores the necessity for physicians to be aware that pulmonary neuroendocrine tumors can recur over the long term and may present in a multicentric fashion within the disease spectrum.

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