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Primary small cell neuroendocrine carcinoma of the anterior mediastinum presenting with trepopnea
  1. Mohamed Iliyas1,
  2. Das Dona1,
  3. Uma Devi1 and
  4. Naseem Noorunnisa2
  1. 1 Department of General Medicine, Shri Sathya Sai Medical College and Research Institute, Kanchipuram, Tamil Nadu, India
  2. 2 Department of Pathology, Shri Sathya Sai Medical College and Research Institute, Kanchipuram, Tamil Nadu, India
  1. Correspondence to Dr Mohamed Iliyas, dr.mohd.iliyas{at}


We report the case of an elderly man who had visited many physicians with breathlessness and was treated in an outpatient care. The cause of breathlessness was not evaluated, which turned out to be a slow-growing tumour in the mediastinum. Later, we diagnosed it to be a case of neuroendocrine carcinoma arising from the anterior mediastinum. The patient had succumbed to death because of the delayed diagnosis. A simple chest X-ray could have helped to make an early diagnosis. This case is reported with the intention to bring into light the effect of delayed diagnosis of a rare disease presenting with a very common symptom.

  • endocrine cancer
  • pathology

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  • Contributors MI: treating physician, diagnosis, treatment, manuscript preparation. DD: literature search. UD: manuscript analysis. NN: pathological diagnosis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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