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1岁女童硬化性肺细胞瘤伴大量咯血:病例报告

Sclerosing pneumocytoma in a 1-year-old girl presenting with massive hemoptysis: A case report.

作者信息

Bara Albaraa, Adham Ibrahim, Daaboul Obada, Aldimirawi Fatima, Darwish Bassam, Haffar Lina

机构信息

Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.

Pediatric Pulmonologist Consultant, Damascus, Syrian Arab Republic.

出版信息

Ann Med Surg (Lond). 2021 Jan 8;62:49-52. doi: 10.1016/j.amsu.2021.01.004. eCollection 2021 Feb.

Abstract

INTRODUCTION AND IMPORTANCE

Sclerosing pneumocytoma (SP) is a rare benign neoplasm of the lung with peak age incidence in middle aged-women. Here we report, for the first time in the literature, a case of a 1-year-old girl with SP.

CASE PRESENTATION

A 1-year-old girl was reported to emergency department for massive hemoptysis. After admission, the patient had a three-days episode of melena, with normal body temperature and generally stable condition.

CLINICAL DISCUSSION

Fiberoptic bronchoscopy was normal. MSCT was done along with angiography and Three-Dimensional Reconstruction which revealed a well-circumscribed round mass with well-defined borders located near the vessels in the upper lobe of left lung. Anatomic lingula resection was performed. Hilar node was also resected. The histopathological examination confirmed the presence of SP. Fourteen months postoperatively, the patient was in a good health with no clinical or radiological evidence of recurrence.

CONCLUSION

SP is a rare benign tumor which usually presents in middle aged-women asymptomatically or with nonspecific symptoms. We report this case to highlight that SP should be considered in cases of hemoptysis in young children.

摘要

引言与重要性

硬化性肺细胞瘤(SP)是一种罕见的肺部良性肿瘤,发病高峰年龄在中年女性。在此,我们首次在文献中报道一例1岁女童患硬化性肺细胞瘤的病例。

病例介绍

一名1岁女童因大量咯血被送往急诊科。入院后,患者出现了为期三天的黑便,体温正常,一般情况稳定。

临床讨论

纤维支气管镜检查正常。进行了多层螺旋CT(MSCT)检查以及血管造影和三维重建,结果显示左肺上叶血管附近有一个边界清晰的圆形肿块,边界明确。实施了解剖性舌叶切除术。同时切除了肺门淋巴结。组织病理学检查证实为硬化性肺细胞瘤。术后14个月,患者身体健康,无临床或影像学复发证据。

结论

硬化性肺细胞瘤是一种罕见的良性肿瘤,通常在中年女性中无症状或表现为非特异性症状。我们报道此病例以强调在幼儿咯血病例中应考虑到硬化性肺细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2088/7806499/6212e3a4755f/gr1.jpg

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