Morini Francesco, Quattrucci Serena, Cozzi Denis A, Tancredi Giancarlo, Cicconi Anna Maria, Guidi Roberto, Midulla Fabio
Department of Pediatric Surgery, University of Rome La Sapienza, Rome, Italy.
Ann Thorac Surg. 2003 Dec;76(6):2085-7. doi: 10.1016/s0003-4975(03)01047-6.
Primary lung tumors are rare in childhood and often overlooked owing to the nonspecific presentation. We report the case of a 15-year-old boy with a 3-year history of recurrent pneumonia always involving the right lower lobe due to bronchial mucinous adenoma. After endoscopic removal the tumor recurred locally, necessitating open surgical resection of the tumor. In a child with localized recurrent pneumonia of uncertain pathogenesis, the differential diagnosis should include a primary lung tumor. Bronchial adenomas should not be removed endoscopically; patients must undergo open thoracotomy for surgical excision.
原发性肺肿瘤在儿童时期较为罕见，由于其临床表现不具特异性，常被忽视。我们报告一例15岁男孩，因支气管黏液性腺瘤，有3年反复肺炎病史，且肺炎总是累及右下叶。内镜切除肿瘤后肿瘤局部复发，因此需要行肿瘤开放性手术切除。对于发病机制不明的局限性复发性肺炎患儿，鉴别诊断应包括原发性肺肿瘤。支气管腺瘤不应通过内镜切除；患者必须接受开胸手术切除。
