Kobayashi Taisuke, Hyodo Masamitsu, Honda Nobumitsu
Department of Otolaryngology, Kochi Medical School, Nankoku, Kochi, Japan.
Int J Pediatr Otorhinolaryngol. 2013 May;77(5):875-8. doi: 10.1016/j.ijporl.2013.03.012. Epub 2013 Mar 30.
Primary endobronchial tumors are rare in children and often are misdiagnosed, resulting in a delay of appropriate treatment. Here, we present a case of 4-year-old girl with primary endobronchial lymphoma who presented with persistent pneumonia despite medical treatment. Her chest radiograph showed left atelectasis, and a bronchial foreign body was initially suspected. Bronchoscopic examination demonstrated a granulomatous tumor occupying the left main bronchus. Localized Burkitt's lymphoma in the left trachea was diagnosed histopathologically. This case emphasizes the consideration of endobronchial tumor and bronchoscopy in children who show persistent atelectasis or recurrent pneumonia.
原发性支气管肿瘤在儿童中较为罕见,且常被误诊,导致延误适当治疗。在此,我们报告一例4岁女童原发性支气管淋巴瘤病例,该患儿尽管接受了药物治疗,但仍持续患有肺炎。她的胸部X光片显示左肺不张,最初怀疑是支气管异物。支气管镜检查发现一个肉芽肿性肿瘤占据左主支气管。经组织病理学诊断为左气管局限性伯基特淋巴瘤。该病例强调对于出现持续肺不张或反复肺炎的儿童,应考虑支气管肿瘤并进行支气管镜检查。