Vaos George, Zavras Nick, Priftis Kostas, Pierrakos Paraskevi
Department of Paediatric Surgery, Penteli General Children's Hospital, Athens 15236, Greece.
J Pediatr Surg. 2006 Jul;41(7):1326-8. doi: 10.1016/j.jpedsurg.2006.03.021.
Bronchial granular cell tumor is an uncommon tumor in young children. Recurrent pneumonia in the same site should raise suspicion of an obstructing granular cell tumor of the bronchus. We present a 10-year-old girl with an 18-month history of recurrent pneumonia caused by obstruction of the main lingular bronchus by this type of tumor. In our patient, an upper left lobectomy was only technically feasible instead of a lingulectomy alone because of the spread pulmonary inflammation and the depth of bronchial wall invasion by the tumor. Delayed diagnosis resulted in a more extensive pulmonary resection.
支气管颗粒细胞瘤在幼儿中是一种罕见肿瘤。同一部位反复发生肺炎应怀疑存在支气管阻塞性颗粒细胞瘤。我们报告一名10岁女孩,因这种类型的肿瘤阻塞左舌叶主支气管,有18个月反复肺炎病史。在我们的患者中,由于肺部炎症扩散以及肿瘤侵犯支气管壁的深度,左上肺叶切除术在技术上是可行的,而不仅仅是舌叶切除术。诊断延迟导致了更广泛的肺切除。