Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report
Introduction: Airway tumors are infrequent in children. Adenoid cystic carcinomas (ACC) are the second most common histological type. Case presentation: A previously healthy 11-year-old female presented with fever and cough for eight days. A chest x-ray revealed a large right lung opacity. Due to th...
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Elsevier
2025-10-01
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| Series: | Journal of Pediatric Surgery Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576625001368 |
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| author | Beatriz Manásia Schröter Rafael Rodrigues Torres Roberto Augusto Plaza Teixeira Marcela Dias Borges Alyne Condurú dos Santos Cunha Ana Cristina Aoun Tannuri |
| author_facet | Beatriz Manásia Schröter Rafael Rodrigues Torres Roberto Augusto Plaza Teixeira Marcela Dias Borges Alyne Condurú dos Santos Cunha Ana Cristina Aoun Tannuri |
| author_sort | Beatriz Manásia Schröter |
| collection | DOAJ |
| description | Introduction: Airway tumors are infrequent in children. Adenoid cystic carcinomas (ACC) are the second most common histological type. Case presentation: A previously healthy 11-year-old female presented with fever and cough for eight days. A chest x-ray revealed a large right lung opacity. Due to the opacity's extension, a contrast-enhanced chest computed tomography (CT) was done and revealed a vascularized lesion in the right main stem bronchus, with luminal narrowing and opacity suggesting pneumonia. Bronchoscopy with biopsy confirmed primary ACC. The pneumonia did not respond to ceftriaxone and was then treated with cefepime and vancomycin. The tumor was then approached via a right thoracotomy. We resected a two-centimeter segment of the right main stem bronchus and reconstructed it by an end-to-end anastomosis with a simple continuous suture on the posterior wall and simple interrupted sutures on the anterior wall. The patient left the operating room with a chest drain, having satisfactory pain control and no complications. On her sixth postoperative day on the she developed a pneumothorax due to displacement of the chest drain, which was managed by the placement of a new chest drain. On the thirteenth postoperative day she developed a pleural effusion and fever and was treated empirically with meropenem and vancomycin. The patient was discharged home with no chest drain twenty-six days after the operation. She had no further complications at the one-month follow-up. Conclusion: ACC and other airway tumors should be considered in the differential diagnosis of children with lung consolidations that do not respond to antibiotics or have atypical presentations. |
| format | Article |
| id | doaj-art-a18d1cc8265e4f468f00d5e21405f43f |
| institution | Kabale University |
| issn | 2213-5766 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj-art-a18d1cc8265e4f468f00d5e21405f43f2025-08-23T04:48:22ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662025-10-0112110309110.1016/j.epsc.2025.103091Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case reportBeatriz Manásia Schröter0Rafael Rodrigues Torres1Roberto Augusto Plaza Teixeira2Marcela Dias Borges3Alyne Condurú dos Santos Cunha4Ana Cristina Aoun Tannuri5Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Arnaldo, 455 - Cerqueira César, Pacaembu, SP, 01246-903, Brazil; Corresponding author.Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo, SP, 05403-010, BrazilInstituto do Tratamento do Câncer Infantil (ITACI), Pediatria - Faculdade de Medicina da Universidade de São Paulo (FMUSP), R. Galeno de Almeida, 148, Pinheiros, São Paulo, SP, 05410-030, BrazilHospital São Paulo - Universidade Federal de São Paulo, R. Napoleão de Barros, 715 - Vila Clementino, São Paulo, SP, 04024-002, BrazilDepartamento de Anatomia Patológica da Universidade de São Paulo, Av. Dr. Arnaldo, 455, Cerqueira César, Pacaembu, SP, 01246-903, BrazilHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo, SP, 05403-010, BrazilIntroduction: Airway tumors are infrequent in children. Adenoid cystic carcinomas (ACC) are the second most common histological type. Case presentation: A previously healthy 11-year-old female presented with fever and cough for eight days. A chest x-ray revealed a large right lung opacity. Due to the opacity's extension, a contrast-enhanced chest computed tomography (CT) was done and revealed a vascularized lesion in the right main stem bronchus, with luminal narrowing and opacity suggesting pneumonia. Bronchoscopy with biopsy confirmed primary ACC. The pneumonia did not respond to ceftriaxone and was then treated with cefepime and vancomycin. The tumor was then approached via a right thoracotomy. We resected a two-centimeter segment of the right main stem bronchus and reconstructed it by an end-to-end anastomosis with a simple continuous suture on the posterior wall and simple interrupted sutures on the anterior wall. The patient left the operating room with a chest drain, having satisfactory pain control and no complications. On her sixth postoperative day on the she developed a pneumothorax due to displacement of the chest drain, which was managed by the placement of a new chest drain. On the thirteenth postoperative day she developed a pleural effusion and fever and was treated empirically with meropenem and vancomycin. The patient was discharged home with no chest drain twenty-six days after the operation. She had no further complications at the one-month follow-up. Conclusion: ACC and other airway tumors should be considered in the differential diagnosis of children with lung consolidations that do not respond to antibiotics or have atypical presentations.http://www.sciencedirect.com/science/article/pii/S2213576625001368Adenoid cystic carcinomaBronchus tumorsPediatric tumorsCase report |
| spellingShingle | Beatriz Manásia Schröter Rafael Rodrigues Torres Roberto Augusto Plaza Teixeira Marcela Dias Borges Alyne Condurú dos Santos Cunha Ana Cristina Aoun Tannuri Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report Journal of Pediatric Surgery Case Reports Adenoid cystic carcinoma Bronchus tumors Pediatric tumors Case report |
| title | Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report |
| title_full | Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report |
| title_fullStr | Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report |
| title_full_unstemmed | Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report |
| title_short | Adenoid cystic carcinoma of the main stem bronchus in an 11-year-old child: A case report |
| title_sort | adenoid cystic carcinoma of the main stem bronchus in an 11 year old child a case report |
| topic | Adenoid cystic carcinoma Bronchus tumors Pediatric tumors Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576625001368 |
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