Highlighter is on. Drag to highlight text. Click a highlight to remove it.
ALL / Respiratory Medicine
Lung cancer: carcinoid
Lung cancer: carcinoid
The vast majority of bronchial adenomas are carcinoid tumours, arising from the amine precursor uptake and decarboxylation (APUD) system, like small cell tumours. Lung carcinoid accounts 1% of lung tumours and for 10% of carcinoid tumours. The term bronchial adenoma is being phased out.Lung carcinoid
- typical age = 40-50 years
- smoking not risk factor
- slow growing: e.g. long history of cough, recurrent haemoptysis
- often centrally located and not seen on CXR
- 'cherry red ball' often seen on bronchoscopy
- carcinoid syndrome itself is rare (associated with liver metastases)
Management
- surgical resection
- if no metastases then 90% survival at 5 years
Pathophysiology of carcinoid tumours
+PassMedicine Notes
The vast majority of bronchial adenomas are carcinoid tumours, arising from the amine precursor uptake and decarboxylation (APUD) system, like small cell tumours. Lung carcinoid accounts 1% of lung tumours and for 10% of carcinoid tumours. The term bronchial adenoma is being phased out.
Lung carcinoid- typical age = 40-50 years
- smoking not risk factor
- slow growing: e.g. long history of cough, recurrent haemoptysis
- often centrally located and not seen on CXR
- 'cherry red ball' often seen on bronchoscopy
- carcinoid syndrome itself is rare (associated with liver metastases)
- surgical resection
- if no metastases then 90% survival at 5 years
