Edorium Journal of

Cardiothoracic and Vascular Surgery

 
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Case Report
 
Synchronous pulmonary Cryptococcus and carcinoid tumor in Cushing's syndrome: A diagnostic challenge
Anupama Barua1, Paul Govewalla2, Emanuel Kefaloyannis1, Radhika Ramnath3, Kostas Papagiannopoulos1
1Thoracic Surgery Dept, St James's University Hospital, Leeds, UK.
2Yorkshire Heart Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
3Histology Dept, St James's University Hospital, Leeds, UK.

Article ID: 100003C04AB2015
doi:10.5348/C04-2015-3-CR-2

Address correspondence to:
Anupama Barua
Thoracic Surgery, St James's University Hospital NHS Trust
Beckett Street, Leeds LS97TF
Phone: +447944982375

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How to cite this article
Barua A, Govewalla P, Kefaloyannis E, Ramnath R, Papagiannopoulos K. Synchronous pulmonary Cryptococcus and carcinoid tumor in Cushing's syndrome: A diagnostic challenge. Edorium J Cardiothorac Vasc Surg 2015;2:4–7.


Abstract
The simultaneous occurrence of a pulmonary carcinoid tumor and pulmonary Cryptococcus is very rare. A 25-year-old male presented with typical symptoms of Cushing's syndrome. Investigations revealed synchronous lung lesions in the right upper lobe and left lower lobe. The right upper lobe lesion was strongly PET-positive and the left lower lobe lesion was mildly PET- positive. A right upper lobectomy was performed with histological analysis confirming pulmonary cryptococcosis. A delayed left lower lobectomy was performed with histological analysis confirming a typical carcinoid tumor

Keywords: Cushing's syndrome, Pulmonary Cryptococcosis, Carcinoid tumor, PET-positive lesion


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Author Contributions
Anupama Barua – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Paul Govewalla – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Emanuel Kefaloyannis – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Radhika Ramnath – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Kostas Papagiannopoulos – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Anupama Barua et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Anupama Barua is a Specialist Registrar at Thoracic Surgery Department, St James's University Hospital, Leeds, UK. She earned undergraduate degree (MBBS) from Dhaka Medical College Hospital, Bangladesh and postgraduate degree form (MRCS) from Royal College of Surgeons of Edinburgh, UK and obtained MD (Research) from University of Leicester, UK. She has published 13 research papers in national and international academic journals. Her research interests include minimal invasive cardiac surgery, adult cardiac surgery and aortic surgery. She intends to pursue her career as adult cardiac surgeon in future.



Paul Govewalla is Specialist Registrar at Yorkshire Heart Centre, Leeds Teaching Hospitals NHS Trust, Leeds, UK.



Emanuel Kefaloyannis is a Consultant in Thoracic Surgery Department, St James's University Hospital, Leeds, UK.



Radhika Ramnath is a Consultant in Histology Department, St James's University Hospital, Leeds, UK.



Kostas Papagiannopoulos is a Consultant in Thoracic Surgery Department, St James's University Hospital, Leeds, UK.




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