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Published on: August 24, 2019
[Bronchial and appendiceal carcinoid tumors]
J L Encinas1, L F Avila, M A García-Cabeza
1Departamentos de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid, España. jlencinas@arrakis.es
Anales De Pediatria (Barcelona, Spain : 2003)
|June 8, 2006
Summary
Pediatric carcinoid tumors (CT) are rare. Appendiceal CT often lacks typical appendicitis symptoms, while bronchial CT diagnosis is delayed, necessitating consideration in children with unexplained respiratory issues.
Area of Science:
- Pediatric oncology
- Surgical pathology
- Rare tumors
Context:
- Carcinoid tumors (CT) are uncommon neoplasms that can occur in various locations.
- These tumors are associated with the production of vasoactive substances, sometimes leading to carcinoid syndrome.
- CT in children is particularly rare, with varied clinical presentations.
Purpose:
- To review the diagnosis and management of pediatric carcinoid tumors.
- To analyze the clinical presentation, treatment, and outcomes of children with CT.
- To highlight diagnostic challenges and emphasize the importance of considering CT in specific pediatric cases.
Summary:
- A retrospective review identified 10 pediatric patients with CT (5 appendiceal, 2 bronchial).
- Appendiceal CTs often presented atypically, with only half showing classic appendicitis symptoms. Bronchial CTs had delayed diagnoses.
- No patients exhibited carcinoid syndrome. All patients achieved disease-free status after treatment, including appendectomy for most appendiceal cases and resection for bronchial CTs.
Impact:
- This study underscores that appendiceal CT may not present with typical acute appendicitis symptoms.
- Delayed diagnosis of bronchial CT is common, suggesting its inclusion in the differential for pediatric respiratory symptoms.
- Pediatric CT, particularly appendiceal CT treated with appendectomy, generally has an excellent prognosis.
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