[Broncho-pulmonary carcinoid with the cardiac arrhythmia manifestation].

We are presenting the case of a 60-year-old woman (OM ) with a bronchial-pulmonary carcinoid which the only, first and dominating symptom was paroxysmal atrial tachycardia, as well as ventricular group extrasystoles. After 1.5 years of treatment with amiodarone, the patient was admitted to hospital because of haemoptysis. In the imaging examinations of the thorax, a cavernous structure of 36 x 47 mm in the III segment of the left lung was discovered. The patient underwent urgent surgery after an episode of massive pulmonary haemorrhage--surgery included excision of the upper lobe of the left lung containing the tumour and mediastinal lymph nodes. On microscopic examination, an atypical carcinoid was diagnosed. After the surgery, arrhythmia ceased and did not return for a period of 3 following years. The current imaging examinations and determinations of 5-HIO uringexcretion acid do not indicate relapse of the tumour.