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J Thorac Cardiovasc Surg 2004;128:782-783
© 2004 The American Association for Thoracic Surgery

Brief communication

Bronchotomy in the treatment of a low-grade bronchial mucoepidermoid carcinoma in a child

George Vaos, MD, PhDa,*, Nick Zavras, MD, PhDa, Kostas Priftis, MD, PhDb, Catherine Micahil-Strantzia, MDc, George Antypas, MD, PhDd

a Department of Paediatric Surgery, Penteli General Children's Hospital, Athens, Greece
b Department of Allergy-Pulmonology, Penteli General Children's Hospital, Athens, Greece
c Department of Pathology, Aglaia Kyriakou Children's Hospital, Athens, Greece
d 2nd Department of Thoracic Surgery, Athens Chest Hospital, Athens, Greece

Received for publication February 21, 2004; accepted for publication March 4, 2004.

* Address for reprints: George Vaos, MD, PhD, Department of Paediatric Surgery, Penteli General Children's Hospital, 8 Hippocratous Str, 15236 P. Penteli, Athens, Greece
gvaos@hotmail.com

The first 20% of the full text of this article appears below.

Bronchial mucoepidermoid carcinomas in children are the rarest variant of bronchial adenomas, and they generally behave in a benign fashion.1 Until 2000, only 54 cases of proved bronchial mucoepidermoid carcinoma in children younger than 15 years had been reported in the literature.2 Fifty of these were low-grade carcinomas with a benign clinical course. Because of the predilection for the main bronchus, bronchoplastic techniques for complete surgical resection of such low-grade lesions are the recommended therapy, allowing preservation of the maximum amount of lung parenchyma.2 We describe a low-grade mucoepidermoid carcinoma of the left main bronchus in a 6-year-old boy in whom a complete removal of the tumor by means of bronchotomy and extirpation was performed, with excellent results.

Clinical summary

An otherwise healthy 6-year-old boy was referred to us with a recent history of productive cough and hemoptysis. He had recurrent episodes of pneumonia for the past month. On auscultation, expiratory wheezing on the upper left lung field was observed. A chest x-ray film showed an area of increased density in the left lower lobe, suggesting . . . [Full Text of this Article]




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