Author(s): Anna Sitkiewicz | Przemyslaw Przewratil | Ewa Andrzejewska
Journal: Przegląd Pediatryczny
ISSN 0137-723X
Volume: 37;
Issue: 1;
Start page: 132;
Date: 2007;
Original page
ABSTRACT
A 6-year-old girl was admitted to our surgery department with diagnosis of thoracic tumour. She was previously treated due to pneumonia and progressive anemia in a pediatric department. CT scans demonstrated a solid tumour coprising two thirds of the right thorax. Increased inflammatory index and distinct anemia were detected in laboratory tests. On the basis of CT imaging and neoplastic markers proper diagnosis of the tumour was not possible. The child was qualified for surgery after 2 weeks of antibiotic therapy with tentative diagnosis of teratoma maturum. The solid tumour of the medial and lower pulmonary lobes, tightly attached to diaphragm was found during thoracotomy. Invasion of the pulmonary hilus and pericardium was ascertained as well. Tumour was excised completly within the right lung. Histopathologic examination revealed a rare case of inflammatory pseudotumour of the lung (IMT). No complications appeared during postoperative course. Normalization of blood cell count and inflammatory index was a result of further treatment. Patient was discharged from hospital with good respiratory function on the 18th postoperative day. 6 months after surgery a residual mass in the right thorax was found in PET imaging. Additional immunosupressive treatment with steroids was applied and regression of the pathologic lesion was revealed in control PET scans 10 months later. The girl develops normally without any symptoms of disease until now (2 years after surgery). The review of literature about IMT in children is also presented in this paper.
Journal: Przegląd Pediatryczny
ISSN 0137-723X
Volume: 37;
Issue: 1;
Start page: 132;
Date: 2007;
Original page
ABSTRACT
A 6-year-old girl was admitted to our surgery department with diagnosis of thoracic tumour. She was previously treated due to pneumonia and progressive anemia in a pediatric department. CT scans demonstrated a solid tumour coprising two thirds of the right thorax. Increased inflammatory index and distinct anemia were detected in laboratory tests. On the basis of CT imaging and neoplastic markers proper diagnosis of the tumour was not possible. The child was qualified for surgery after 2 weeks of antibiotic therapy with tentative diagnosis of teratoma maturum. The solid tumour of the medial and lower pulmonary lobes, tightly attached to diaphragm was found during thoracotomy. Invasion of the pulmonary hilus and pericardium was ascertained as well. Tumour was excised completly within the right lung. Histopathologic examination revealed a rare case of inflammatory pseudotumour of the lung (IMT). No complications appeared during postoperative course. Normalization of blood cell count and inflammatory index was a result of further treatment. Patient was discharged from hospital with good respiratory function on the 18th postoperative day. 6 months after surgery a residual mass in the right thorax was found in PET imaging. Additional immunosupressive treatment with steroids was applied and regression of the pathologic lesion was revealed in control PET scans 10 months later. The girl develops normally without any symptoms of disease until now (2 years after surgery). The review of literature about IMT in children is also presented in this paper.
