Roik Danuta, Mosior Tomasz, Sopyło Barbara, Małdyk Jadwiga, Brzewski Michał
Paediatric Radiology Department, Medical University of Warsaw, Warsaw, Poland.
Pol J Radiol. 2010 Oct;75(4):55-7.
Malignant pulmonary tumours in children are very rare; the majority are metastases. Nonspecific radiographic findings of these abnormalities are challenging and may delay the final diagnosis and treatment.
A 10-year-old boy was admitted to our hospital because of the clinical and radiographic symptoms and signs of pneumonia with abscess formation in the left lower lobe. After initial improvement on antibiotic therapy, a significant deterioration of the patient's condition was observed, together with progression in radiographic examinations. The patient was treated surgically and transferred to the Haematology and Oncology Department with a final diagnosis of pulmonary metastasis of clear cell sarcoma.
Radiographic findings of metastatic diseases may mimic non-neoplastic pulmonary conditions. A lack of specific clinical symptoms and a confusing radiographic pattern in our patient with clear cell sarcoma lung metastasis caused serious diagnostic difficulties.
儿童恶性肺肿瘤非常罕见；大多数为转移瘤。这些异常的非特异性影像学表现具有挑战性，可能会延迟最终诊断和治疗。
一名10岁男孩因左肺下叶肺炎伴脓肿形成的临床和影像学症状及体征入院。在抗生素治疗初步改善后，观察到患者病情显著恶化，同时影像学检查显示病情进展。患者接受了手术治疗，并转至血液学和肿瘤学科室，最终诊断为透明细胞肉瘤肺转移。
转移性疾病的影像学表现可能类似于非肿瘤性肺部疾病。我们的透明细胞肉瘤肺转移患者缺乏特异性临床症状且影像学表现令人困惑，导致了严重的诊断困难。
