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儿童肺黏液表皮样癌:两例报告并文献复习

Pulmonary mucoepidermoid carcinoma in children: two case reports and a review of the literature.

作者信息

Huang Yuan, Fu Yong, Sun Jing, Xu Bin, Wu Lei, Tang Lan-Fang

机构信息

Department of Pulmonology, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

Department of Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

出版信息

Front Pediatr. 2023 Sep 12;11:1232185. doi: 10.3389/fped.2023.1232185. eCollection 2023.

DOI:10.3389/fped.2023.1232185
PMID:37772041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10522853/
Abstract

Pulmonary mucoepidermoid carcinoma (PMEC) is a rare tumor, particularly in children, and its clinical manifestations vary. When the tumor is small, it may be asymptomatic; however, with larger tumors, patients may present with symptoms such as recurring pneumonia, atelectasis, persistent cough, chest pain, and even hemoptysis. PMEC appears as an exophytic intrabronchial mass. This study aims to report on the clinical manifestations, imaging findings, treatment approaches, and prognosis of two children diagnosed with PMEC at our hospital between January 2018 and December 2022. The age of onset for both children was 9 years, and the masses were located in the right upper lobe bronchi. Following surgical treatment, both patients showed a good prognosis. In addition, we conducted a comprehensive review of the relevant literature to enhance the overall understanding of PMEC.

摘要

肺黏液表皮样癌(PMEC)是一种罕见肿瘤,在儿童中尤为少见,其临床表现各异。肿瘤较小时可能无症状;然而,肿瘤较大时,患者可能出现反复肺炎、肺不张、持续性咳嗽、胸痛甚至咯血等症状。PMEC表现为支气管内的外生性肿块。本研究旨在报告2018年1月至2022年12月期间在我院确诊为PMEC的两名儿童的临床表现、影像学表现、治疗方法及预后。两名儿童的发病年龄均为9岁,肿块位于右上叶支气管。手术治疗后,两名患者均预后良好。此外,我们对相关文献进行了全面综述,以加深对PMEC的整体认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70df/10522853/09bbf2bc9180/fped-11-1232185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70df/10522853/3acc70d1e756/fped-11-1232185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70df/10522853/09bbf2bc9180/fped-11-1232185-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70df/10522853/3acc70d1e756/fped-11-1232185-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70df/10522853/09bbf2bc9180/fped-11-1232185-g002.jpg

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本文引用的文献

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Pulmonary Salivary Gland Tumor, Mucoepidermoid Carcinoma: A Literature Review.肺唾液腺肿瘤,黏液表皮样癌:文献综述
J Oncol. 2022 Nov 2;2022:9742091. doi: 10.1155/2022/9742091. eCollection 2022.
2
Lung preservation in mucoepidermoid carcinoma of tracheobronchial tree: A case series.气管支气管树黏液表皮样癌的肺组织保存:病例系列
Lung India. 2021 Jan-Feb;38(1):18-22. doi: 10.4103/lungindia.lungindia_511_20.
3
The role of positron emission tomography in the diagnosis, staging and response assessment of non-small cell lung cancer.
正电子发射断层扫描在非小细胞肺癌诊断、分期及疗效评估中的作用。
Ann Transl Med. 2018 Mar;6(5):95. doi: 10.21037/atm.2018.01.25.
4
Pulmonary mucoepidermoid carcinoma: diagnosis and treatment.肺黏液表皮样癌:诊断与治疗。
Expert Rev Respir Med. 2018 Mar;12(3):249-255. doi: 10.1080/17476348.2018.1428563. Epub 2018 Jan 17.
5
Fluorine-18-fluorodeoxyglucose positron emission tomography/ computed tomography findings in a pediatric mucoepidermoid carcinoma and differential diagnosis.小儿黏液表皮样癌的氟-18-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描表现及鉴别诊断
Hell J Nucl Med. 2017 May-Aug;20(2):172-175. doi: 10.1967/s002449910560. Epub 2017 Jul 12.
6
Surgical outcomes of pulmonary mucoepidermoid carcinoma: A review of 41 cases.肺黏液表皮样癌的手术治疗结果:41例病例回顾
PLoS One. 2017 May 2;12(5):e0176918. doi: 10.1371/journal.pone.0176918. eCollection 2017.
7
Introduction to The 2015 World Health Organization Classification of Tumors of the Lung, Pleura, Thymus, and Heart.《2015年世界卫生组织肺、胸膜、胸腺和心脏肿瘤分类》简介
J Thorac Oncol. 2015 Sep;10(9):1240-1242. doi: 10.1097/JTO.0000000000000663.
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