Via Research Recognition Day Program VCOM-Carolinas 2025

Case Reports

Unusual Cause of Wheezing in a Middle-Aged Woman: A Case Report Rayhan Karimi, OMS-IV, Arun Adlakha, M.D. VCOM Carolinas, Spartanburg, SC.

Purpose: To increase medical knowledge, treatment, and patient presentation of endobronchial carcinoid tumors

I n t rAobdsut cr at icotn

Imaging

Histology

‹‰—”‡ ͷǤ ‹‘’•› •–ƒ‹‡† ˆ‘” ‹—‘Š‹•–‘ Š‡‹•–”› ƒ”‡”• ’‘•‹–‹˜‡ ˆ‘” •›ƒ’–‘’Š›•‹Ǥ ‹‰—”‡ ͶǤ ‹‘’•› ‘ˆ – ƒŠ‡ ‹–—•— ‘Ž ƒ”” • ‰Š”‘‘™™‹–Š‰ ’ƒ––‡” ‘ˆ ƒ ‰”ƒ†‡ ͳ ‡—”‘‡†‘ ”‹‡ –—‘”Ǥ

Case Presentation • †‘„”‘ Š‹ƒŽ ƒ” ‹‘‹† –—‘”• ƒ”‡ ƒ ”ƒ”‡ •—„•‡– ‘ˆ  ‡ƒ—‹””‘™‡ƒ›†•‘ ƒ ” †‹  ”‡‡ –’—”‡ •‘‡”•– – δŠʹƒ Ψ– ‘ ”‘‹ˆ‰ ƒ‹ Ž Žƒ Ž–—‡ ‹‰ –ƒŠ‡ „‡””‘•  ȏ ͳŠȐ Ǥ‹ ƒ Ž • – › ’Š‹ ‡ ƒ †Ž Ž‹ ›ƒ ‰ƒ ‘Š •‹ ‡‹ •˜ ‡‘†ˆ ‡– Š †” ‘‘—„‰”Š‘ ‹ Šƒ‹ ‰ƒ ‹Ž  ‰ƒ ”• – ‹—†‘‹ ‹‡†• ǡ– ‹—Ž‘—”†•‹ ‹ •‰ Š‡•– ”ƒ†‹‘‰”ƒ’Š› ƒ† ‡Šƒ ‡† ‘’—–‡† –‘‘‰”ƒ’Š› ȋ Ȍ • ƒ•ǡ ˆ‘ŽŽ‘™‡† „› ‘ˆ‹”ƒ–‘”› „”‘ Š‘• ‘’› ƒ† „‹‘’•›Ǥ • ‰ ‡ ’  ƒ ‡ ‡  ” ” ˆ ƒ ƒ ‘ ‰ Ž ” Ž ‡ ›   ‹ ‡  ‡ † ˜  ‘ „ – Ž ” ‘ ˜ ‘ ˆ ‡  • ‡  • Š — † ‘ ‘ ” • ‰ „ ‹ ” ‘ ‘ ƒ ’  Ž ‹ …” ƒ ‡ Š Ž • ‹ Ž ƒ ‡ › Ž ‘ –‹ ” ƒ ‘ ” –  Š ǡ ‹ ”  ™ ‘ ‘ — Š ‹† ‰ ‹ Š – Š —   ƒ ‘  ‘ ” ” ‡ „ • ‡ ‹˜ƒ•‹˜‡ ’”‘ ‡†—”‡• †‡–‡”‹‡† „› –Š‡ –—‘”̵• •‹œ‡ ƒ† Ž‘ ƒ–‹‘Ǥ †Œ—˜ƒ– –Š‡”ƒ’‹‡•ǡ •— Š ƒ• ”ƒ†‹‘–Š‡”ƒ’› ‘” Š‡‘–Š‡”ƒ’›ǡ ƒ› „‡ ‘•‹†‡”‡† ͷ͸Ǧ›‡ƒ”Ǧ‘Ž† ƒ— ƒ•‹ƒ ˆ‡ƒŽ‡ ™‹–Š ƒ ’ƒ•– ‡†‹ ƒŽ Š‹•–‘”› ‘ˆ ͳͷ ’ƒ  ›‡ƒ” •‘‹‰ Š‹•–‘”› ™ƒ• ‡˜ƒŽ—ƒ–‡† ˆ‘” ƒ ‘‡Ǧ ›‡ƒ” Š‹•–‘”› ‘ˆ ‹–‡”‹––‡– — ‘‹† ‘—‰Šǡ ™Š‡‡œ‹‰ǡ †›•’‡ƒǡ ƒ† ”‡ —””‡– ’‡—‘‹ƒ ‹˜‘Ž˜‹‰ –Š‡ Ž‡ˆ– Ž‘™‡” Ž‘„‡ ‘ˆ –Š‡ Ž—‰Ǥ Š‡ Šƒ† ’”‡˜‹‘—•Ž› „‡‡ ’”‡• ”‹„‡† ‘—–’ƒ–‹‡– ‘—”•‡• ‘ˆ „”‘ƒ†Ǧ•’‡ –”— ƒ–‹„‹‘–‹ • –‘ –”‡ƒ– –Š”‡‡ ‡’‹•‘†‡• ‘ˆ ”‡ —””‡– ’‡—‘‹ƒǡ ƒŽ™ƒ›• ‹˜‘Ž˜‹‰ –Š‡ Ž‡ˆ– Ž‘™‡” Ž‘„‡ ‘ˆ –Š‡ Ž—‰Ǥ Š›•‹ ƒŽ ‡šƒ‹ƒ–‹‘ ”‡˜‡ƒŽ‡† ƒ ‘„‡•‡ǡ ™Š‹–‡ ˆ‡ƒŽ‡ ™‹–Š ‘”ƒŽ ˜‹–ƒŽ •‹‰•Ǥ Š‡ •›•–‡‹ ‡šƒ ™ƒ• ‘Ǧ ‘–”‹„—–‘”› ‡š ‡’– ˆ‘” ˆ‘ ƒŽ ™Š‡‡œ‹‰ ƒ† ”Š‘ Š‹ ƒ••‘ ‹ƒ–‡† ™‹–Š †‡ ”‡ƒ•‡† „”‡ƒ–Š •‘—†• ‘˜‡” –Š‡ Ž‡ˆ– ‹ˆ”ƒǦ• ƒ’—Žƒ” ƒ† ƒ†Œƒ ‡– ”‡‰‹‘Ǥ ƒ•‹ Žƒ„‘”ƒ–‘”› –‡•–• ™‡”‡ ‘”ƒŽǤ

‹‰—”‡ ͳǤ š‹ƒŽ • ƒ •Š‘™‹‰ ƒ ͵ ͺ Ǥ Ͷ – —‘ ”έ ‹ ʹ ͳ– ǤŠ͸‡ Ž ‡ ˆ –ȋ Žƒ‘”™” ‘‡™” ȌŽ ‘Ǥ „ ‡ ‹‰—”‡ ʹǤ ‘”‘ƒŽ • ˜ Š ‹‡ ‘ ™™ ‹  ‰ ƒ • Ž ƒ ‡  ˆ– Ž‘™‡” Ž‘„‡ –—‘” ȋƒ””‘™ȌǤ ‹‰—”‡ ͵Ǥ š‹ƒŽ Š‡•– ƒ Ž – ‡ ‡ ˆ Ž † – ‡ ‹ Ž • ‘ – ’ ƒ ™ Ž • ƒ ‡ ‹ › • ” ‹ ‘  Ž— ˆ ‰  –Š ‰ ‡ ˆ”‘ –Š‡ Ž‡‡• †‹ ‘‘„ ”ȋ ‘ƒ ”” ‘Š™‹ ƒȌŽǤ

Diagnosis and Conclusions ‹ — • ‡ — – Ž ‘ ƒ ” – Š ƒ ‡ † Š ‹ ’ • • –‘ ‡ Ž — ‘ † ‰ ‘ ‹ ‰ ƒ Žƒ Ž  ˆ‹ †  — † Ž ‹ ƒ  ” ‰ ‰ • ” ‘ ‘ ˆ ™ ƒ – – Š — ’  ƒ ‘ –– ” ‡ ™ ” ‹– • Š ǡ ˆ‹‡ Š”‘ƒ–‹ǡ ƒ† ’‘•‹–‹˜‡ ‰ Ȁ•›ƒ’–‘’Š›•‹ •–ƒ‹‹‰ǡ –Š‡ ’ƒ–‹‡– ™ƒ• †‹ƒ‰‘•‡† ™‹–Š ƒ Endobronchial Carcinoid Tumor • ‡ —””‡– ”‡•’‹”ƒ–‘”› ‹ˆ‡ –‹‘•ǡ •— Š ƒ• ’‡—‘‹ƒ ‘” „ˆ”—‘”– ŠŠ‡ ‹”– ‹‹ • ˜™‡‹•– –Š‹ ‰‘ƒ”– ‹™‘ ‹ – Š™‘‹—– Š– Š‹ ‡ ƒ ‰‘‹ ’ –‰› ‘• ‹”• „ •”Š‘‘— ŽŠ†‘ ’•” ‘‘’ ›’Ǥ – • •— ”—‰Ž –‡‹‘†‹ •• ǡ ‹’ Ž‡‹ †ƒ‹ ”ƒ›Ž ƒƒ’’†” ”‘ƒƒ† ‹Šƒ –‹ ‹ ‘˜‘ Ž‘˜‹  ‰‘ Ž–‘Š‰‘‹ •” ƒ– • ǡ ‹ ‘ ’’ –—‹ Ž‹ ‘œ ‹‘‰Ž ‘– ”‰‡‹ •ƒ––•ǡ ƒ‡†– ‘’—ƒ–– Š‘‘Ž ‘‡‰•‹ •ˆ –‘•” ‹’• ƒ –”‹—‡ ‹–ƒ•Ž ™ˆ ‘‹”– Š „”‘ Š‹ƒŽ ƒ” ‹‘‹† –—‘”•Ǥ Acknowledgements and References

2025 Research Recognition Day

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