Primary Pulmonary Tumor in an Adolescent

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Luís
Data de Publicação: 2020
Outros Autores: Domingues, Rui, Amaral, Diana, Cavaco, José
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690
Resumo: Primary lung tumors in the pediatric age group are rare, histologically diverse and have different therapeutic approaches. The inflammatory myofibroblastic tumor of the lung accounts for 0.04% - 1.2% of all lung tumors, is more common in children and young adults and its etiology is unknown. The diagnosis is difficult as clinical and radiological findings are highly variable. We report a case of a 15-year-old adolescent who presented with a single pulmonary nodule on a chest radiograph, in the context of a respiratory infection, and whose etiological investigation revealed an inflammatory myofibroblastic tumor of the lung. Atypical resection was performed by video-assisted thoracoscopic surgery, with full recovery. We highlight the rarity of this entity, the need for a high suspicion index and the diagnostic investigation undertaken to reach a definitive diagnosis and a successful outcome.
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spelling Primary Pulmonary Tumor in an AdolescentLesão Tumoral Primária do Pulmão em AdolescenteAdolescentGranulomaPlasma CellLung NeoplasmsMyofibromaAdolescenteGranuloma de Células PlasmáticasMiofibromaNeoplasias do PulmãoPrimary lung tumors in the pediatric age group are rare, histologically diverse and have different therapeutic approaches. The inflammatory myofibroblastic tumor of the lung accounts for 0.04% - 1.2% of all lung tumors, is more common in children and young adults and its etiology is unknown. The diagnosis is difficult as clinical and radiological findings are highly variable. We report a case of a 15-year-old adolescent who presented with a single pulmonary nodule on a chest radiograph, in the context of a respiratory infection, and whose etiological investigation revealed an inflammatory myofibroblastic tumor of the lung. Atypical resection was performed by video-assisted thoracoscopic surgery, with full recovery. We highlight the rarity of this entity, the need for a high suspicion index and the diagnostic investigation undertaken to reach a definitive diagnosis and a successful outcome.Os tumores pulmonares primários em idade pediátrica são raros, existindo, contudo, uma multiplicidade de tipos histológicos, com diferentes abordagens terapêuticas. O tumor miofibroblástico inflamatório do pulmão representa 0,04% - 1,2% de todos os tumores pulmonares, é mais frequente em crianças e adultos jovens e a sua etiologia é desconhecida. A apresentação clínica e radiológica é muito variável, pelo que o diagnóstico é difícil. Descrevemos o caso de um adolescente de 15 anos, com achado de nódulo pulmonar em radiografia de tórax realizada no contexto de infeção respiratória e cujo estudo etiológico revelou tratar-se de um tumor miofibroblástico inflamatório do pulmão. Foi realizada resseção atípica por toracoscopia videoassistida, verificando-se evolução favorável. Salientamos a raridade desta entidade, a necessidade de elevado índice de suspeição clínica e a marcha diagnóstica que levou ao esclarecimento definitivo e à sua resolução.Ordem dos Médicos2020-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/jpegimage/jpegimage/jpegapplication/pdfapplication/pdfapplication/pdfimage/jpegimage/jpegimage/jpegapplication/pdfapplication/pdfapplication/mswordapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690oai:ojs.www.actamedicaportuguesa.com:article/12690Acta Médica Portuguesa; Vol. 33 No. 7-8 (2020): July-August; 512-515Acta Médica Portuguesa; Vol. 33 N.º 7-8 (2020): Julho-Agosto; 512-5151646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/5849https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11745https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11746https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11747https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11748https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11749https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11750https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11759https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11760https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11761https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11762https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11763https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11913https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/11930https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/12690/12035Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessRodrigues, LuísDomingues, RuiAmaral, DianaCavaco, José2022-12-20T11:06:41Zoai:ojs.www.actamedicaportuguesa.com:article/12690Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:13.526406Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Primary Pulmonary Tumor in an Adolescent
Lesão Tumoral Primária do Pulmão em Adolescente
title Primary Pulmonary Tumor in an Adolescent
spellingShingle Primary Pulmonary Tumor in an Adolescent
Rodrigues, Luís
Adolescent
Granuloma
Plasma Cell
Lung Neoplasms
Myofibroma
Adolescente
Granuloma de Células Plasmáticas
Miofibroma
Neoplasias do Pulmão
title_short Primary Pulmonary Tumor in an Adolescent
title_full Primary Pulmonary Tumor in an Adolescent
title_fullStr Primary Pulmonary Tumor in an Adolescent
title_full_unstemmed Primary Pulmonary Tumor in an Adolescent
title_sort Primary Pulmonary Tumor in an Adolescent
author Rodrigues, Luís
author_facet Rodrigues, Luís
Domingues, Rui
Amaral, Diana
Cavaco, José
author_role author
author2 Domingues, Rui
Amaral, Diana
Cavaco, José
author2_role author
author
author
dc.contributor.author.fl_str_mv Rodrigues, Luís
Domingues, Rui
Amaral, Diana
Cavaco, José
dc.subject.por.fl_str_mv Adolescent
Granuloma
Plasma Cell
Lung Neoplasms
Myofibroma
Adolescente
Granuloma de Células Plasmáticas
Miofibroma
Neoplasias do Pulmão
topic Adolescent
Granuloma
Plasma Cell
Lung Neoplasms
Myofibroma
Adolescente
Granuloma de Células Plasmáticas
Miofibroma
Neoplasias do Pulmão
description Primary lung tumors in the pediatric age group are rare, histologically diverse and have different therapeutic approaches. The inflammatory myofibroblastic tumor of the lung accounts for 0.04% - 1.2% of all lung tumors, is more common in children and young adults and its etiology is unknown. The diagnosis is difficult as clinical and radiological findings are highly variable. We report a case of a 15-year-old adolescent who presented with a single pulmonary nodule on a chest radiograph, in the context of a respiratory infection, and whose etiological investigation revealed an inflammatory myofibroblastic tumor of the lung. Atypical resection was performed by video-assisted thoracoscopic surgery, with full recovery. We highlight the rarity of this entity, the need for a high suspicion index and the diagnostic investigation undertaken to reach a definitive diagnosis and a successful outcome.
publishDate 2020
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dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 33 No. 7-8 (2020): July-August; 512-515
Acta Médica Portuguesa; Vol. 33 N.º 7-8 (2020): Julho-Agosto; 512-515
1646-0758
0870-399X
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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