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Published on: November 10, 2014
Endobronchial tumors in children: an uncommon clinical entity
K J Scott1, J H Greinwald, D Darrow
1Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center Portsmouth, Virginia, USA.
Insights
Endobronchial tumors are rare in children, often presenting with chronic respiratory issues. Early diagnosis and a multidisciplinary approach improve outcomes for these pediatric patients.
Area of Science:
- Pediatric Pulmonology
- Pediatric Oncology
Background:
- Endobronchial tumors in children are uncommon.
- This study reviews cases diagnosed between 1988 and 1998.
Observation:
- 10 pediatric patients with endobronchial tumors were analyzed.
- Tumors were predominantly benign (80%) and located in various lung regions.
- Histological types included papillomas, inflammatory masses, hemangioma, leiomyoma, mucoepidermoid carcinoma, and carcinoid.
Findings:
- The mean age at diagnosis was 5.2 years.
- Benign tumors were more frequent than malignant ones.
- Tumor locations varied, with some cases presenting bilaterally.
Implications:
- A high index of suspicion is crucial for diagnosing children with persistent respiratory symptoms.
- Advances in medical therapies and surgical techniques enhance disease management.
- A collaborative, multidisciplinary strategy is recommended for optimal patient care.
Abstract:
We performed a retrospective chart review of 10 children in whom endobronchial tumors were diagnosed in a tertiary-care children's medical center from 1988 to 1998. Of the 10 patients, 6 were male and 4 were female (8 white, 1 Hispanic, 1 African American). The mean age at presentation was 5.2 years. Eight tumors were benign, and 2 were malignant; 4 were on the right side, 3 were on the left side, and 3 were bilateral. Histologic findings included 3 bronchial papillomas, 3 inflammatory masses, 1 endobronchial hemangioma, 1 leiomyoma, 1 mucoepidermoid carcinoma, and 1 bronchial carcinoid. Endobronchial tumors in children are a rare disorder. The diagnosis requires a high index of suspicion in children with atypical or chronic respiratory complaints. Newer adjuvant medical therapies and surgical innovations offer improved disease control in these patients, and a multidisciplinary approach is often warranted.
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