Abstract | AIMS AND BACKGROUND: Malignant airway tumors in children have rarely been reported. We evaluated the safety and therapeutic effects of interventional bronchoscopic therapy in 8 children with malignant airway tumors. METHODS AND STUDY DESIGN: We retrospectively analyzed 8 children with malignant airway tumors diagnosed by pathology, and evaluated their clinical features, chest computer tomography findings and bronchoscopic manifestations. RESULTS: Two of the 8 pediatric patients had high-grade malignancies ( lymphoma and sarcoma) and the others all had low-grade malignancies, including 2 cases with mucoepidermoid carcinoma and 4 cases with inflammatory myofibroblastic tumor. Their ages ranged from 4 to 8 years (mean, 5.7 ± 0.9). There were no specific clinical manifestations in the children, and all of them presented with various respiratory symptoms, including cough and gasping associated with hemoptysis. Chest CT indicated round intra-airway neoplasms. Obstructive pulmonary atelectasis occurred in the main bronchus of 4 patients (3 cases of the left main bronchus and 1 case of the right intermedius bronchus). All children (1 case with local anesthesia and 7 cases with general anesthesia) underwent interventional bronchoscopic therapy, including argon plasma coagulation and CO 2 cryosurgery. The success rate for the rigid procedures was 100.0% (7/7), and the cure rate after 3 months was 85.7% (6/7). A part of the tumor remained in the lung of 1 patient with inflammatory myofibroblastic tumor after bronchoscopic treatment. One patient with local anesthesia died of suffocation caused by tumor consolidation during the bronchoscopic procedure. There were no recurrences in 6 patients during the follow-up period. One recurred patient was cured at 6 months. CONCLUSIONS: There are no specific manifestations in children with malignant airway tumors. Interventional bronchoscopic therapy seems to be safe and effective for those tumors under general anesthesia.
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Authors | Hongwu Wang, Nan Zhang, Meimei Tao, Dongmei Li, Yunzhi Zhou, Hang Zou, Sujuan Liang, Jing Li |
Journal | Tumori
(Tumori)
2012 Sep-Oct
Vol. 98
Issue 5
Pg. 581-7
ISSN: 2038-2529 [Electronic] United States |
PMID | 23235752
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Anesthesia, General
- Argon Plasma Coagulation
- Bronchial Neoplasms
(complications, diagnosis, pathology, surgery)
- Bronchoscopy
(methods)
- Carbon Dioxide
(therapeutic use)
- Carcinoma, Mucoepidermoid
(diagnosis, surgery)
- Child
- Child, Preschool
- Cough
(etiology)
- Cryosurgery
(methods)
- Delayed Diagnosis
- Diagnosis, Differential
- Diagnostic Errors
- Dyspnea
(etiology)
- Female
- Hemoptysis
(etiology, therapy)
- Humans
- Lymphoma
(diagnosis, surgery)
- Male
- Neoplasms, Muscle Tissue
(diagnosis, surgery)
- Retrospective Studies
- Sarcoma
(diagnosis, surgery)
- Treatment Outcome
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