Wu Lei, Chen Wei, Li PengCheng, Li Shuxian, Chen Zhimin
Department of Pulmonology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Department of Endoscopy Center, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.
Front Pediatr. 2021 Apr 27;9:528966. doi: 10.3389/fped.2021.528966. eCollection 2021.
Endotracheal hamartomas are rarely encountered in children. The symptoms of endotracheal hamartoma may include cough, dyspnea, hemoptysis, chest pain, purulent sputum, and fever. The non-specific symptoms often result in a delayed diagnosis. Among the various treatments of this rare disease, surgical resection seems to be the most widely used, while endoscopic treatment is rarely described. Herein, we describe the case of a 9-year-old boy with an endotracheal hamartoma that was successfully excised by electrosurgical snaring via fiberoptic bronchoscopy (FB). The resection of select benign endotracheal tumors in children can be conducted using electrocautery, which can be regarded as an alternative therapy to bronchotomy.
气管内错构瘤在儿童中很少见。气管内错构瘤的症状可能包括咳嗽、呼吸困难、咯血、胸痛、脓性痰和发热。这些非特异性症状常常导致诊断延迟。在这种罕见疾病的各种治疗方法中,手术切除似乎是应用最广泛的,而内镜治疗则鲜有报道。在此,我们描述了一名9岁男孩患有气管内错构瘤的病例,该肿瘤通过纤维支气管镜(FB)电圈套成功切除。儿童某些良性气管肿瘤的切除可以使用电灼术,这可被视为支气管切开术的替代疗法。