Surgical therapy of a Fetal Lung Interstitial Tumor (FLIT) in an infant – A case report and review of surgical considerations

Jonas Zimmer , Philippe Grieshaber , Michael Allgäuer , Patrick Günther , Bernd Beedgen , Helmut Rauch , Albrecht Stenzinger , Matthias Gorenflo , Hauke Winter , Martin Eichhorn , Tsvetomir Loukanov
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Abstract

Congenital lung masses are rare and their clinical presentation is highly variable. If newborns present with respiratory distress immediately after birth, early surgical therapy can be necessary. Here, we present the case of a newborn with a very large left-sided lung tumor. The severe respiratory compromise warranted surgical resection at the age of 11 days. The surgery was conducted by an interdisciplinary team. Cardiopulmonary bypass was used to maintain hemodynamic stability. The postoperative histopathological workup identified the tumor as a Fetal Lung Interstitial Tumor (FLIT). The patient developed well and is doing fine 15 months after surgery.

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婴儿胎儿肺间质瘤 (FLIT) 的手术治疗 - 病例报告和手术注意事项回顾
先天性肺肿块非常罕见,其临床表现也千差万别。如果新生儿出生后即出现呼吸窘迫,则有必要尽早进行手术治疗。在此,我们介绍一例患有巨大左侧肺肿瘤的新生儿。新生儿在出生 11 天时就出现了严重的呼吸困难,需要进行手术切除。手术由一个跨学科团队进行。手术中使用了心肺旁路以维持血流动力学稳定。术后组织病理学检查确定肿瘤为胎儿肺间质瘤(FLIT)。术后 15 个月,患者恢复良好。
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