Thorac Cardiovasc Surg 2010; 58(2): 120-122
DOI: 10.1055/s-0029-1185736
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

A 30-Year-Old Woman with Only Right-Sided Asthma?

S. Bölükbas1 , M. Eberlein2 , J. Schirren1
  • 1Thoracic Surgery, Dr. Horst Schmidt Klinik, Wiesbaden, Germany
  • 2John Hopkins University, School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland, United States
Further Information

Publication History

received January 29, 2009

Publication Date:
23 March 2010 (online)

Abstract

Centrally located endobronchial tumors present diagnostic and therapeutic challenges. We report the case of a 30-year-old woman presenting with nonspecific respiratory symptoms and wheezing, who was initially diagnosed with asthma, but eventually was found to have a non-secreting typical carcinoid tumor of the right main bronchus. Surgical management with isolated resection of the right main bronchus allowed us to avoid any parenchymal loss. This case is an instructive example showing that not every wheeze is asthma, especially if the wheezing is unilateral. The excellent long-term outcome of our patient highlights the fact that for central carcinoids, parenchyma-saving resection together with systematic lymphadenectomy should be considered the standard surgical procedure.

References

Dr. Servet Bölükbas, MD, PhD

Department of Thoracic Surgery
Dr. Horst Schmidt Klinik

Ludwig-Erhard-street 100

65199 Wiesbaden

Germany

Phone: + 49 6 11 43 31 32

Fax: + 49 6 11 43 31 35

Email: servet_boeluekbas@web.de