儿童支气管肿瘤三例临床分析  

A clinical review of 3 cases of children with bronchial tumor

作　　者：王燕楠[1] 王素芳[1] 韩富根[1] 

机构地区：[1]郑州市儿童医院耳鼻喉科,450000

出　　处：《中华耳鼻咽喉头颈外科杂志》2015年第10期858-859,共2页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的分析3例儿童支气管肿瘤的临床特征，加深对该类肿瘤的认识，提高确诊率。方法对3例经硬质支气管镜诊断为支气管肿瘤的病例进行回顾性分析。结果3例支气管肿瘤患儿中，均为男性，年龄6—10岁，临床症状表现为咳嗽、咳痰、发热等。病程1d～3个月；3例经胸部64排CT及气道重建检查均发现有主支气管堵塞而被诊断为支气管异物；经硬质支气管镜检查发现为支气管占位，活检病理结果示黏液表皮样癌1例，伴横纹肌样表型的大细胞癌1例，炎性肌纤维母细胞瘤1例。结论儿童支气管肿瘤无特征性表现，常伴有咳嗽、喘息等呼吸道症状，对病因不明，以反复咳嗽、喘息为主诉的患儿，除需考虑支气管外源性异物外，还应想到内生性异物的可能，尤其是支气管肿瘤。Objective To investigate the clinical characteristics of bronchial tumors in 3 children to improve the diagnosis of pediatric bronchial tumor. Methods Three cases of children bronchial malignant tumors diagnosed by rigid bronchoscopy were analyzed retrospectively. Results The 3 children were males, aged from 6 to 10 years old, and presented with cough, sputum, and fever symptoms for 1 day to 3 months. Chest CT scan and airway remodeling examinations indicated the children＇s main bronchi were blocked and then the diagnoses of bronchial foreign bodies were made. However bronchial tumors were found in the 3 children by rigid bronchoscopy and were determined as mucoepidermoid carcinoma, large cell lung carcinoma with rhabdoid phenotype, and inflammatory myofibroblastic tumor, respectively. Conclusions Children with bronchial tumor often present with cough, wheezing and other respiratory symptoms that are not specific to bronchial tumor. When a child complaint of repeated cough and wheezing symptoms with unknown cause, not only bronchial foreign body and also bronchial tumor should be considered.

关 键 词：支气管肿瘤 支气管镜检查 儿童 

分 类 号：R734.1[医药卫生—肿瘤]