Abdulhamid I, Rabah R
Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, Michigan 48201, USA.
Pediatr Pulmonol. 2000 Nov;30(5):425-8. doi: 10.1002/1099-0496(200011)30:5<425::aid-ppul9>3.0.co;2-1.
Persistent atelectasis and recurrent pneumonia in the same location should raise suspicion of congenital anomalies or obstructing lesions of the bronchus leading to the affected area. We present an 8-year-old black female with a history of recurrent fever, cough, atelectasis of the right middle and lower lobes, and weight loss for several months. Flexible bronchoscopy revealed a polypoid mass obstructing the bronchus intermedius. Biopsy of the neoplasm demonstrated a granular cell tumor (GCT). The patient had a lobectomy of the right lower and middle lobes. She had no recurrence of the tumor after several years of follow-up.
同一部位持续存在的肺不张和反复发生的肺炎应引起对先天性异常或导致受累区域的支气管阻塞性病变的怀疑。我们报告一名8岁黑人女性，有反复发热、咳嗽、右中下叶肺不张及数月体重减轻的病史。可弯曲支气管镜检查发现一个息肉样肿物阻塞中叶支气管。肿瘤活检显示为颗粒细胞瘤（GCT）。该患者接受了右下叶和中叶切除术。经过数年随访，她的肿瘤未复发。
