3岁儿童支气管内炎性肌成纤维细胞瘤1例。

Pub Date : 2023-03-09 eCollection Date: 2023-01-01 DOI:10.1055/s-0043-1764289
Riccardo Guanà, Andrea Carpino, Marta Miglietta, Elisa Zambaiti, Alessia Cerrina, Luca Lonati, Francesco Guerrera, Stefano Vallero, Salvatore Garofalo, Marco Bardessono, Francesca Maletta, Steffi Shilly, Fabrizio Gennari
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引用次数: 0

摘要

炎症性肌纤维母细胞瘤(IMT)是一种间充质肿瘤,可发生于任何年龄。然而,它主要见于儿童,最常见的部位是肺实质,通常出现罕见的支气管内病变。本病例报告的发病率为一名3岁女童,诊断为心包肺炎,经抗生素治疗,无临床改善。胸部计算机断层扫描(CT)在左主支气管发现一个1.5厘米的病变。支气管镜检查显示左主干支气管完全阻塞。左后外侧开胸术。此外,在纤维内镜控制下进行左袖上支气管切除术。组织学确诊为IMT。经过2年的内镜随访,没有复发的证据。
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Endobronchial Inflammatory Myofibroblastic Tumor in a 3-Year-Old Child.

Inflammatory myofibroblastic tumor (IMT) is a mesenchymal tumor that can occur at any age. However, it is primarily seen in children, with the most common site being in the lung parenchyma, usually present with rare endobronchial lesions. This case reports the incidence in a 3-year-old girl diagnosed with pericardiac pneumonia treated with antibiotics with no clinical improvement. A chest computed tomography (CT) scan identified a 1.5-cm lesion in the left main bronchus. Bronchoscopy revealed complete obstruction of the left main stem bronchus. A left posterolateral thoracotomy was performed. Additionally, a left sleeve upper bronchial resection was conducted under fibroendoscopic control. Definitive histology confirmed IMT. After 2 years of endoscopic follow-up, there is no evidence of recurrence.

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