Endobronchial tumor in children:Unusual finding in recurrent pneumonia,report of three cases  

作　　者：Silvia Madafferi Vincenzo D Catania Antonella Accinni Renata Boldrini Alessandro Inserra 

机构地区：[1]Department of General and Thoracic Surgery,Bambino Gesù Children Hospital-Resarch Institute [2]Department of Pathology,Bambino Gesù Children Hospital-Resarch Institute

出　　处：《World Journal of Clinical Pediatrics》2015年第2期30-34,共5页世界临床儿科杂志

摘　　要：We are reporting 3 cases of pediatric endobronchialtumors presented with recurrent pneumonia. The median age of patients, at time of presentation, was 10.6 years. All patients presented with recurrent pneumonia with a mean time to occurrence, after onset of symptoms, of 14 mo. Bronchoscopy was early performed as part of diagnostic work-up and it revealed an endobronchial mass in every case. Complete surgical resection was performed in all cases, with lung preservation in two of them. Neither post-operative chemotherapy nor radiotherapy was required. The mean duration of follow-up was 7 years and all patients are still alive and disease-free. Recurrent pneumonia, in pediatrics, should raise the suspicion of an obstructing lesion, congenital malformation or systemic disease. A systematic approach is useful for organize the clinicians initial workup. Prompt diagnosis allows parenchymal-sparing surgery, which offers the best chance of cure and reduces clinical and functional complications in these patients.We are reporting 3 cases of pediatric endobronchialtumors presented with recurrent pneumonia. The median age of patients, at time of presentation, was 10.6 years. All patients presented with recurrent pneumonia with a mean time to occurrence, after onset of symptoms, of 14 mo. Bronchoscopy was early performed as part of diagnostic work-up and it revealed an endobronchial mass in every case. Complete surgical resection was performed in all cases, with lung preservation in two of them. Neither post-operative chemotherapy nor radiotherapy was required. The mean duration of follow-up was 7 years and all patients are still alive and disease-free. Recurrent pneumonia, in pediatrics, should raise the suspicion of an obstructing lesion, congenital malformation or systemic disease. A systematic approach is useful for organize the clinicians initial workup. Prompt diagnosis allows parenchymal-sparing surgery, which offers the best chance of cure and reduces clinical and functional complications in these patients.

关 键 词：Recurrent PNEUMONIA Pediatric ENDOBRONCHIAL TUMOR MUCOEPIDERMOID TUMOR CARCINOID TUMOR 

分 类 号：R734.1[医药卫生—肿瘤]