Endobronchial Carcinoid and Concurrent Carcinoid Syndrome in an Adolescent Female
Endobronchial Carcinoid and Concurrent Carcinoid Syndrome in an Adolescent Female
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DOI：
10.1155/2016/2074970
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发表时间：
2016-01-01
影响因子：
0.9
通讯作者：
Ong, Thida
中科院分区：
文献类型：
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作者：
Cogen, Jonathan D.;Swanson, Jonathan;Ong, Thida
支气管内类癌是儿童和青少年最常见的支气管内肿瘤。常见的体征和症状包括持续咳嗽和对支气管扩张剂无反应的喘息、咯血和反复发烧。通常通过成像和可屈性支气管镜直接观察来进行诊断；手术仍然是金标准治疗，应尽可能进行保留肺的切除术。尽管类癌综合征（以脸红、心悸、喘息、呼吸急促和腹泻为特征）被发现与成人支气管类癌瘤有关，但据我们所知，之前只有一项研究报告了患有支气管内类癌的儿科患者存在类癌综合征。在这里，我们报告一例患有慢性咳嗽的 14 岁女孩，被发现患有支气管内类癌，且体征和症状与类癌综合征一致。
Endobronchial carcinoid tumors are the most common intrabronchial tumors in children and adolescents. Common signs and symptoms include persistent cough and wheezing not responsive to bronchodilators, hemoptysis, and recurrent fever. Diagnosis is frequently made by imaging and direct visualization with flexible bronchoscopy; surgery remains the gold standard treatment, and lung-sparing resections should be performed whenever possible. Though carcinoid syndrome-characterized by flushing, palpitations, wheezing, shortness of breath, and diarrhea-has been found in association with adult bronchial carcinoid tumors, to our knowledge only one previous study has reported the presence of carcinoid syndrome in a pediatric patient with an endobronchial carcinoid. Here, we report a case of a 14-year-old girl with chronic cough found to have an endobronchial carcinoid tumor and signs and symptoms consistent with carcinoid syndrome.