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Case Report: Rare primary bronchogenic acinic cell carcinoma in a pediatric patient
Yuxing Sun1, Jun Zhou2, Jiaojiao Zhu1
1Department of Respiration, Kunming Children's Hospital (Children's Hospital Affiliated to Kunming Medical University), Kunming, Yunnan, China.
Insights
Pediatric primary bronchial acinic cell carcinoma (AciCC) is a rare lung tumor. This case study details a successful surgical resection in a young boy, highlighting the importance of prompt diagnosis and treatment for favorable outcomes.
Area of Science:
- Pulmonology
- Pediatric Oncology
- Pathology
Background:
- Acinic cell carcinoma (AciCC) is a rare salivary gland tumor.
- Primary bronchogenic AciCC is exceptionally rare, particularly in pediatric patients.
- Pediatric cases often present with non-specific symptoms like cough and fever, mimicking common respiratory infections.
Abstract:
Acinic cell carcinoma (AciCC) is an uncommon tumor of the salivary glands, with primary bronchogenic cases being particularly rare, especially in children. This report presents a case of a 3-year and 11-month-old boy who exhibited symptoms of cough and fever. Contrast-enhanced CT imaging revealed a solid mass in the right upper lung lobe accompanied by atelectasis, with poor bronchial visualization and no abnormal enhancement. Bronchoscopy identified a tumor obstructing the right upper lobe bronchial orifice. Surgical resection was performed, and histopathological analysis confirmed acinic cell carcinoma without lymph node involvement. The patient remained recurrence-free during an 18-month follow-up. Pediatric primary bronchial AciCC is exceptionally rare and typically manifests with non-specific symptoms. Radiological findings such as solid lung lesions or atelectasis may lead to misdiagnosis as pneumonia. However, complete surgical excision generally yields favorable outcomes.
