Hullo E, Llerena C, Durand C, Piolat C, Plantaz D, Pin I
Service de pédiatrie générale et maladies infectieuses, CHU de Grenoble, BP 217, 38037 Grenoble cedex 09, France.
Arch Pediatr. 2007 Aug;14(8):1036-40. doi: 10.1016/j.arcped.2007.04.009. Epub 2007 Jun 12.
Carcinoid tumors are the most common endobronchial tumor in the pediatric population, and represent a rare cause of airway obstruction. The authors report two cases of boys aged 10 and 11 years old, who presented with a 12-month history of recurrent pneumonia. Bronchial endoscopy showed an endobronchial tumor. Chest CT-scan identified local extension and lung-associated lesions; octreoscan was performed to detect distant metastases. Histopathological study concluded in typical carcinoid tumor. The outcome after surgical conservative resection is uneventful with a follow-up of 7 and 26 months. Bronchial tumors must be considered in children with recurrent pneumonia or persistant respiratory symptoms, and require CT scan and bronchial endoscopy for their diagnosis.
类癌肿瘤是儿科人群中最常见的支气管内肿瘤，是气道阻塞的罕见原因。作者报告了两例分别为10岁和11岁男孩的病例，他们有12个月的反复肺炎病史。支气管内镜检查显示有支气管内肿瘤。胸部CT扫描确定了局部扩展和肺部相关病变；进行了奥曲肽扫描以检测远处转移。组织病理学研究诊断为典型类癌肿瘤。手术保守切除后的结果平稳，随访时间分别为7个月和26个月。对于有反复肺炎或持续呼吸道症状的儿童，必须考虑支气管肿瘤，其诊断需要进行CT扫描和支气管内镜检查。
