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Published on: February 6, 2019
[Acute affection of the thorax in children for pulmonary blastoma]
Joel Higinio Jiménez-Y Felipe1, Roberto de León-Caballero2, Jorge Platt-García2
1Servicio de Cirugía, Hospital Infantil Del Estado de Sonora. Hermosillo, Sonora, México. drjhjimenez@yahoo.com.mx.
Insights
Pediatric thoracic tumors, like pleuropulmonary blastoma, require urgent surgical intervention. Histochemical markers aid in confirming diverse cellular types for accurate diagnosis and treatment.
Area of Science:
- Pediatric oncology
- Thoracic surgery
- Pathology
Background:
- Acute thoracic conditions in children include infections, malformations, and malignant tumors.
- Pleuropulmonary blastoma is a rare pediatric thoracic malignancy.
Observation:
- Three pediatric cases of pleuropulmonary blastoma were treated surgically.
- One patient underwent pneumonectomy for tumor resection.
- Histological confirmation and histochemical markers (vimentin, S-100) were utilized.
Findings:
- Pleuropulmonary blastoma exhibits diverse cellular types, identifiable via histochemical markers.
- Surgical resection is the primary treatment modality for these thoracic neoplasms.
Implications:
- Prompt thoracotomy is crucial for pediatric patients presenting with acute thoracic conditions suggestive of pleuropulmonary blastoma.
- Accurate diagnosis using histochemical analysis guides surgical and therapeutic strategies.
Background:
In children, acute affectation of the thorax is presented during pleuropulmonary infection, bronchopulmonary malformation and malignant tumors. We had the opportunity to treat patients with malignant tumors in the thorax and we present our findings.
Clinical Cases:
We studied three patients with the diagnosis of pleuropulmonary blastoma. All patients were being treated with surgical resection for the neoplasm and one patient received pneumonectomy. Diagnosis of blastoma was confirmed histologically and one had positive histochemical markers to vimentin and S-100. Only one patient died.
Conclusions:
1. Different cellular types of pleuropulmonary blastoma were confirmed using histochemical markers. 2. The pediatric surgeon facing a case of a child with acute thorax affectation due to pleuropulmonary blastoma must undertake thoracotomy on an urgent basis.
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