Was diagnosed with a right paravertebral pulmonary mass obstructing the inlet to the middle lobe.
Surgical treatment: resection of middle lobe and right inferior lobe.
Upon sectioning the right intermediate bronchus a mechanical suture was used to close the stump.
Final diagnosis: non-functioning well-differentiated bronchial neuroendocrine tumor.
Teaching points:
To adequately determine that a localization result is false positive or true positive requires either direct examination (by surgery, cytology or biopsy), other imaging studies to clarify the lesion or extensive follow up and careful comparison to the clinical context to determine the true nature of the lesion.
