[Primary Pulmonary Tumor in an Adolescent]

Area of Science:

• Pediatric Oncology
• Thoracic Surgery
• Pulmonology

Background:

• Primary lung tumors in children are uncommon, exhibiting diverse histology and treatment strategies.
• Inflammatory myofibroblastic tumors (IMT) of the lung represent a rare entity, typically affecting younger individuals, with unknown etiology.
• Diagnostic challenges arise from variable clinical presentations and radiological findings.

Observation:

• A 15-year-old adolescent presented with a solitary pulmonary nodule detected on chest radiography during a respiratory infection.
• Diagnostic investigations confirmed the presence of an inflammatory myofibroblastic tumor of the lung.
• The patient underwent atypical resection via video-assisted thoracoscopic surgery.

Findings:

• Surgical intervention resulted in complete recovery for the adolescent.
• This case underscores the rarity of pulmonary IMT in pediatric patients.
• A high index of suspicion is crucial for timely diagnosis.

Implications:

• Highlights the importance of comprehensive etiological investigation for pulmonary nodules in adolescents.
• Demonstrates the efficacy of minimally invasive surgical techniques for pediatric lung tumors.
• Emphasizes the need for increased awareness of rare pediatric lung neoplasms among clinicians.