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M Piastra1, A Ruggiero, E Caresta
1Pediatric Intensive Care Unit, Catholic University Medical School, Largo Gemelli 8, 00168 Rome, Italy. marcomd@katamail.com
Insights
Rare pediatric lung neoplasms can present critically, from large masses to seemingly benign cysts. Early surgical excision and histologic examination are crucial for all congenital lung cysts, even asymptomatic ones.
Area of Science:
- Pediatric Oncology
- Thoracic Surgery
- Pulmonology
Background:
- Lung neoplasms in children are rare but can present with diverse and severe symptoms.
- Congenital lung lesions require careful evaluation due to potential for malignancy or complications.
Observation:
- Two pediatric cases of rare lung neoplasms exhibited extreme clinical presentations.
- One case involved a large mass causing airway compression; the other presented as a cystic lesion leading to tension pneumothorax.
Findings:
- Both patients survived critical presentations and received surgical and oncological treatment.
- The polymorphous nature of these neoplasms necessitates thorough diagnostic approaches.
Implications:
- Congenital lung cysts, regardless of symptoms, warrant elective surgical excision and histological analysis.
- Prompt diagnosis and management are vital for improving outcomes in pediatric lung neoplasms.
Abstract:
We report two cases of critical presentation of a quite rare lung neoplasm of childhood. Presentation findings were at the extremes of the clinical pattern of this polymorphous neoplasm, ranging from an enormous solid mass causing airway compression and dislocation to an apparently benign cystic lesion discovered because of a tension pneumothorax. Both children were discharged from the pediatric intensive care unit and underwent appropriate surgical removal and oncological management. Congenital lung cysts, even asymptomatic, should not be underestimated and need elective surgical excision and histologic examination.
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