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Atypical Carcinoid Syndrome in a Patient Presenting With Pericarditis and Supraventricular Tachycardia: A Case Report.

التفاصيل البيبلوغرافية
العنوان: Atypical Carcinoid Syndrome in a Patient Presenting With Pericarditis and Supraventricular Tachycardia: A Case Report.
المؤلفون: Khan Z; Acute Medicine, Mid and South Essex NHS Foundation Trust, Southend-on-Sea, GBR.; Cardiology and General Medicine, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.; Cardiology, Royal Free Hospital, London, GBR., Besis G; Cardiology, Royal Free Hospital, London, GBR., Patel N; Cardiology, Royal Free Hospital, London, GBR.
المصدر: Cureus [Cureus] 2022 Oct 08; Vol. 14 (10), pp. e30052. Date of Electronic Publication: 2022 Oct 08 (Print Publication: 2022).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Atypical carcinoids are more uncommon than typical carcinoids, and carcinoid syndrome in general is quite rare. Mediastinal atypical carcinoid is a rare neuroendocrine tumor (NET) that spreads aggressively and rapidly. Morphologically, neuroendocrine tumors are classified into typical carcinoid, atypical carcinoid, small cell carcinoma, and large cell neuroendocrine carcinoma, and the latter two are high-grade tumors. The incidence of atypical carcinoid is rare, and the prognosis is poor, which makes larger trials difficult. It may affect the liver, lungs, or mediastinum with or without metastasis. We present a case of a 47-year-old male patient who presented with chest pain and was found to be in supraventricular tachycardia (SVT) on initial presentation to the hospital. A repeat electrocardiogram (ECG) showed widespread ST-segment elevation. A bedside echocardiogram showed a moderate pericardial effusion, and the patient underwent a coronary angiogram, which showed normal coronary arteries. A computed tomography pulmonary angiogram (CTPA) showed a right mediastinal mass, and the patient was referred to oncology following a discussion in a multidisciplinary team (MDT) meeting. He was commenced on neoadjuvant chemotherapy and has been followed up since in the outpatient clinic. This case is unique due to the initial presentation of supraventricular tachycardia and pericardial effusion.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Khan et al.)
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فهرسة مساهمة: Keywords: acute pericardial effusion; anginal chest pain; atypical carcinoid; chemotherapy agents; landmark-guided pericardiocentesis; mediastinal carcinoid tumor; normal coronary angiogram; paroxysmal supraventricular tachycardia; pulmonary carcinoid tumor; transthoracic echocardiogram
تواريخ الأحداث: Date Created: 20221116 Latest Revision: 20221117
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC9637460
DOI: 10.7759/cureus.30052
PMID: 36381843
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.30052