Choi Soo Hwan, Jeon Hyun Woo, Oh Woo Jin, Park Jae Kil
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Korea.
Department of Thoracic and Cardiovascular Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2014 Feb;47(1):51-4. doi: 10.5090/kjtcs.2014.47.1.51. Epub 2014 Feb 5.
Primary tumors of the lung are uncommon in pediatric patients, particularly bronchioloalveolar carcinoma (BAC). An 11-year-old female suffering from back pain for 1 month was referred to Seoul St. Mary's Hospital for treatment of a pathologic fracture of the lumbar spine. Comprehensive evaluation disclosed numerous pulmonary metastases of rhabdomyosarcoma (stage IV). During chemotherapy, most of the lung lesions regressed, with the exception of two nodules. Wedge resections, intended for diagnosis and cure, yielded a histologic diagnosis of BAC.
原发性肺肿瘤在儿科患者中并不常见,尤其是细支气管肺泡癌(BAC)。一名11岁女性因背痛1个月被转诊至首尔圣母医院,以治疗腰椎病理性骨折。全面评估发现横纹肌肉瘤有多处肺转移(IV期)。化疗期间,除两个结节外,大多数肺部病变都消退了。为明确诊断和治愈而进行的楔形切除术,组织学诊断为BAC。