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[Recurrent pneumonia revealing a bronchial carcinoid tumor: report of two cases]
1Service de pédiatrie générale et maladies infectieuses, CHU de Grenoble, BP 217, 38037 Grenoble cedex 09, France. EHullo@chu-grenoble.fr
Insights
Pediatric carcinoid tumors, a rare cause of airway obstruction, often present as recurrent pneumonia. Early diagnosis via CT scan and bronchial endoscopy is crucial for effective surgical treatment.
Area of Science:
- Pediatric Oncology
- Pulmonology
- Surgical Pathology
Background:
- Carcinoid tumors are the most common endobronchial tumors in children.
- They can cause rare but significant airway obstruction.
- Recurrent pneumonia may be a presenting symptom in pediatric patients.
Observation:
- Two boys, aged 10 and 11, presented with a year of recurrent pneumonia.
- Bronchial endoscopy revealed endobronchial tumors.
- CT scans showed local extension and lung lesions; octreoscans detected metastases.
Findings:
- Histopathology confirmed typical carcinoid tumors in both cases.
- Surgical conservative resection resulted in uneventful outcomes.
- Follow-up periods were 7 and 26 months, respectively.
Implications:
- Endobronchial tumors should be considered in children with persistent respiratory symptoms.
- CT scan and bronchial endoscopy are essential diagnostic tools.
- Timely diagnosis and surgical intervention lead to favorable prognoses in pediatric carcinoid tumors.
Abstract:
Carcinoid tumors are the most common endobronchial tumor in the pediatric population, and represent a rare cause of airway obstruction. The authors report two cases of boys aged 10 and 11 years old, who presented with a 12-month history of recurrent pneumonia. Bronchial endoscopy showed an endobronchial tumor. Chest CT-scan identified local extension and lung-associated lesions; octreoscan was performed to detect distant metastases. Histopathological study concluded in typical carcinoid tumor. The outcome after surgical conservative resection is uneventful with a follow-up of 7 and 26 months. Bronchial tumors must be considered in children with recurrent pneumonia or persistant respiratory symptoms, and require CT scan and bronchial endoscopy for their diagnosis.
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