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World J Clin Pediatr · May 2015
Endobronchial tumor in children: Unusual finding in recurrent pneumonia, report of three cases.
- Silvia Madafferi, Vincenzo D Catania, Antonella Accinni, Renata Boldrini, and Alessandro Inserra.
- Silvia Madafferi, Vincenzo D Catania, Antonella Accinni, Alessandro Inserra, Department of General and Thoracic Surgery, Bambino Gesù Children Hospital-Resarch Institute, 00152 Rome, Italy.
- World J Clin Pediatr. 2015 May 8;4(2):30-4.
AbstractWe are reporting 3 cases of pediatric endobronchial tumors presented with recurrent pneumonia. The median age of patients, at time of presentation, was 10.6 years. All patients presented with recurrent pneumonia with a mean time to occurrence, after onset of symptoms, of 14 mo. Bronchoscopy was early performed as part of diagnostic work-up and it revealed an endobronchial mass in every case. Complete surgical resection was performed in all cases, with lung preservation in two of them. Neither post-operative chemotherapy nor radiotherapy was required. The mean duration of follow-up was 7 years and all patients are still alive and disease-free. Recurrent pneumonia, in pediatrics, should raise the suspicion of an obstructing lesion, congenital malformation or systemic disease. A systematic approach is useful for organize the clinicians initial workup. Prompt diagnosis allows parenchymal-sparing surgery, which offers the best chance of cure and reduces clinical and functional complications in these patients.
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