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Key Features

  • Diagnosis includes carcinoid and bronchial gland tumors, which are low-grade malignancies

  • Most patients are younger than 60 years

  • Men and women are affected equally

  • Tumors grow slowly and rarely metastasize

Clinical Findings

  • Common symptoms

    • Hemoptysis

    • Cough

    • Focal wheezing

    • Recurrent pneumonia

  • Carcinoid syndrome is rare

  • Bronchoscopy may reveal a pink or purple mass in a central airway

  • Complications involve bleeding and airway obstruction rather than tumor invasion or spread

Diagnosis

  • CT scan is useful to localize lesions and follow their growth over time

  • Octreotide scintigraphy may aid in tumor localization

Treatment

  • Surgical excision of symptomatic lesions is often necessary

  • Prognosis is generally favorable

  • Most bronchial carcinoid tumors are resistant to radiation or chemotherapy

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