Pleuropulmonary blastoma: one case report

  • WANG Xianshu ,
  • YANG Zhiguo ,
  • YUE Fang ,
  • GAO Feifei ,
  • CHEN Zhiguo
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  • Hebei Children’s Hospital, Shijiazhuang 050031, Hebei, China

Received date: 2015-03-15

  Online published: 2015-03-15

Abstract

Objective To investigate the early diagnosis and treatment of pleuropulmonary blastoma in children. Methods  The progress of pleuropulmonary blastoma from type 1 to type 3 was retrospectively analyzed. Results  The male infant had no obvious abnormality in chest X-ray at 18 days. At one year old, X-ray film of the chest showed cystic lesions near hilum of the left lung (about 5 cm × 4 cm × 4 cm). The congenital cystic adenomatoid malformation was considered and an operation resection was suggested. However, it had been rejected by his parents. At 3 years and 2 months old, chest X-ray and CT showed left lung had a solid cystic lesion, the volume was significantly enlarged, the back side was solid and the upper part had a large gas cavity. Two months later, the patient had asthmatic suffocation. The chest CT showed the tumor was completely solid. Pleuropulmonary blastoma type 3 was considered. The patient received the conventional chemotherapy after operation excision, and was followed up for 1 year. No recurrence was observed after the treatment. Conclusions  Type 1 pleuropulmonary blastoma and congenital cystic adenomatoid malformation are hard to be differentially diagnosed. Early diagnosis and treatment of type 1 pleuropulmonary blastoma can improve the prognosis.

Cite this article

WANG Xianshu , YANG Zhiguo , YUE Fang , GAO Feifei , CHEN Zhiguo . Pleuropulmonary blastoma: one case report[J]. Journal of Clinical Pediatrics, 2015 , 33(3) : 251 . DOI: 10.3969j.issn.1000-3606.2015.03.013

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