Primary malignant airway neoplasms in 4 children / 中华儿科杂志
Chinese Journal of Pediatrics
;
(12): 618-621, 2011.
Article
in Chinese
| WPRIM
| ID: wpr-276986
ABSTRACT
<p><b>OBJECTIVE</b>Primary airway neoplasms are extremely rare in the pediatric age group. This paper reports 4 children with primary airway neoplasms to explore the clinical manifestations, safety and efficacy of bronchoscopic interventions.</p><p><b>METHOD</b>The data of pathology, photographic documentation and imaging studies were analyzed.</p><p><b>RESULT</b>Of the 4 reported lesions, 2 were characterized by low-grade (2 with mucoepidermoid carcinoma) and 2 by high grade malignant (spindle cell carcinoma and malignant lymphoma). Onset of clinical manifestations occurred at the ages of 7 months to 7 years. All of them were initially misdiagnosed as bronchitis, asthma or atelectasis. The lesions located in trachea in 2 patients, in left bronchus of 1 patient and in right middle bronchus of 1 case. Atelectases occurred in bilateral bronchus where the lesions obstructed almost the entire lumen at the time of diagnosis. The diagnosis of airway masses depends upon maintaining a high index of suspicion, complemented by imaging and timely diagnostic endoscopy. The lesions were completely removed in 3/4 patients except 1 died during bronchoscopic procedures.</p><p><b>CONCLUSION</b>The children with malignant airway neoplasms were presented with cough and wheezing without specific manifestations. Bronchoscopic interventions were effective in the treatment of non-operative cases. General anesthesia is strongly recommended for interventional bronchoscopy.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Therapeutics
/
Bronchoscopy
/
Tracheal Neoplasms
/
Retrospective Studies
/
Diagnosis
Type of study:
Diagnostic study
/
Observational study
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Pediatrics
Year:
2011
Type:
Article
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