E-page Original Images: A giant mediastinal carcinoid tumor that compresses the pulmonary artery and vein

A 39-year-old man was admitted with recently initiated complaints of chest pain and dyspnea. He had a history of hypophysis and thyroid operation after being diagnosed with MEN type 1 syndrome including prolactinoma, parathyroid adenoma, gastrinoma and a nonfunctional adenoma on suprarenal glands 3 years before admission. Chest X- ray (Fig. 1, 2) displayed a large mediastinum, computed tomography showed 13x9x11 cm lobulating, heterogeneous hypodense mass in superior mediastinum that compressed left superior pulmonary vein (Fig. 3). There were no metastatic masses in liver or in any other localization.