Cuestas Giselle, Rodríguez Verónica, Doormann Flavia, Bellia Munzón Patricio, Bellia Munzón Gastón
Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Servicio de Cirugía, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2018 Feb 1;116(1):e143-e146. doi: 10.5546/aap.2018.e143.
Laryngeal tumors are uncommon in children, accounting only for 2% of the laryngeal anomalies. Ninety-eight percent are benign; the most frequent ones are recurrent respiratory papillomatosis and haemangioma. Granular cell tumor, also called Abrikossoff tumor, is an unusual benign neoplasm, especially in the larynx. Clinical manifestations depend on the size and location of the tumor. Dysphonia is the main presenting symptom. The diagnosis is confirmed by the biopsy. The treatment of choice is surgery. We present a 9-year-old girl with dysphonia and exertion dyspnea due to a granular cell tumor of the larynx, and we emphasize the importance of considering the endoscopic evaluation of the airway in every child with progressive or persistent dysphonia in order to determine the etiology.
喉肿瘤在儿童中并不常见,仅占喉部异常的2%。98%为良性;最常见的是复发性呼吸道乳头状瘤病和血管瘤。颗粒细胞瘤,也称为阿布里科索夫瘤,是一种不常见的良性肿瘤,尤其是在喉部。临床表现取决于肿瘤的大小和位置。声音嘶哑是主要的症状。活检可确诊。首选治疗方法是手术。我们报告一名9岁女孩因喉部颗粒细胞瘤出现声音嘶哑和劳力性呼吸困难,并强调对于每一名患有进行性或持续性声音嘶哑的儿童,考虑进行气道内镜评估以确定病因的重要性。