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肺母细胞瘤:一种由脓气胸发现的儿童罕见肿瘤。

Pneumoblastoma: A Rare Tumor in Children Revealed by Pyopneumothorax.

作者信息

Niyitanga Germaine, Zouita Ibtissam, Basraoui Dounia, Jalal Hicham

机构信息

Department of Radiology, University Hospital Mohammed VI, Marrakesh, MAR.

出版信息

Cureus. 2021 Aug 29;13(8):e17539. doi: 10.7759/cureus.17539. eCollection 2021 Aug.

Abstract

Pneumoblastoma is a rare but severely aggressive primary lung tumor. Exceptional at the pediatric age, pneumoblastoma lacks clinical and radiological specificity. It is rarely mentioned as a first-line differential, as radiological images are often confused with those of congenital lung malformation. This history is reminiscent of the diagnostic difficulty with which the clinician is confronted with the finding of an intrathoracic cystic image of the child. Primary childhood lung tumors, especially pneumoblastoma, are difficult to diagnose both clinically and by imaging. It is necessary to think about it in the face of any lingering respiratory infection and any atypical radiological presentation. We report this case in order to illustrate the usual radiographic, ultrasound, and scenographic aspects of this rare malignant tumor in children and to highlight the diagnostic problems posed by this exceptional pathology.

摘要

肺母细胞瘤是一种罕见但侵袭性极强的原发性肺肿瘤。在儿童期极为罕见,肺母细胞瘤缺乏临床和影像学特异性。它很少被列为一线鉴别诊断,因为影像学图像常与先天性肺畸形的图像混淆。这段病史让人想起临床医生在发现儿童胸腔内囊性影像时所面临的诊断困难。儿童原发性肺肿瘤,尤其是肺母细胞瘤,在临床和影像学上都难以诊断。面对任何迁延不愈的呼吸道感染和任何非典型的影像学表现,都有必要考虑到这种疾病。我们报告此病例,以说明这种儿童罕见恶性肿瘤常见的放射学、超声和影像学表现,并强调这种特殊病理所带来的诊断问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bf8/8478691/274d3d744bf5/cureus-0013-00000017539-i01.jpg

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