Eshghi Alireza, Akbarizadeh Mashkani Mohammad Hadi, Sharifi Mohammad, Nejad Nasrin Hoseiny, Tasharrofi Behnoosh, Zarei Elham
Department of Pediatric Pulmonology, Ali Asghar Children's Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
School of Medicine, Golestan University of Medical Sciences (GOUMS), Gorgan, Iran.
Radiol Case Rep. 2025 Jul 24;20(10):5095-5098. doi: 10.1016/j.radcr.2025.06.064. eCollection 2025 Oct.
Lobular capillary hemangioma (LCH) is a benign vascular tumor that is usually found in the skin and mucous membranes. However, tracheal LCH is rare and presents with non-specific respiratory symptoms such as chronic cough, hemoptysis or airway obstruction, which often lead to misdiagnosis. This case report describes a six-year-old girl who was initially misdiagnosed with hyperreactive airway disorder due to persistent coughing and respiratory distress. Further evaluation via CT scan and bronchoscopy revealed a tracheal mass, which was confirmed as LCH following histopathological analysis. Successful treatment involved an excisional biopsy, which resolved the symptoms. This case highlights the importance of considering tracheal masses such as LCH in pediatric patients presenting with refractory respiratory symptoms and emphasizes the need for advanced imaging and endoscopy techniques to ensure accurate diagnosis and effective management.
小叶状毛细血管瘤（LCH）是一种良性血管肿瘤，通常见于皮肤和黏膜。然而，气管LCH较为罕见，表现为慢性咳嗽、咯血或气道阻塞等非特异性呼吸道症状，常导致误诊。本病例报告描述了一名6岁女孩，最初因持续咳嗽和呼吸窘迫被误诊为气道高反应性疾病。通过CT扫描和支气管镜进一步评估发现气管肿物，经组织病理学分析确诊为LCH。成功的治疗方法是切除活检，症状得以缓解。该病例强调了在出现难治性呼吸道症状的儿科患者中考虑气管肿物如LCH的重要性，并强调需要先进的成像和内镜技术以确保准确诊断和有效管理。
