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Endobronchial Mucoepidermoid Carcinoma in a child
  • +4
  • Sara Fonseca,
  • Sónia Silva,
  • Adriana Magalhães,
  • Rita Lago,
  • Norberto Estevinho,
  • Maria Bom Sucesso,
  • Inês Azevedo
Sara Fonseca
Hospital São João
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Sónia Silva
Centro Hospitalar Universitário de São João
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Adriana Magalhães
Centro Hospitalar de São João EPE
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Rita Lago
Centro Hospitalar Universitário de São João
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Norberto Estevinho
Centro Hospitalar Universitário de São João
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Maria Bom Sucesso
Centro Hospitalar Universitário de São João
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Inês Azevedo
Centro Hospitalar S. João
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Abstract

Endobronchial mucoepidermoid tumors are rare neoplasms but most cases are reported in children. Due to nonspecific symptoms, diagnosis can be challenging, but early diagnosis and treatment are crucial for prognosis. We present the case of a boy, with chronic respiratory insufficiency due to bronchiolitis obliterans, that presented worsening exertional dyspnea at 12 years. Spirometry showed a frank deterioration of respiratory function and CT scan revealed an obstructive polypoid mass in the intermediate bronchus. Given the severe basal ventilatory compromise and risk associated with surgical treatment, rigid bronchoscopy and laser excision, and photocoagulation were performed, with clinical and functional improvement. The histological examination revealed a low-grade mucoepidermoid carcinoma. The option for a minimally invasive procedure requires careful follow-up due to the risk of tumor recurrence.

Peer review status:IN REVISION

26 Mar 2021Submitted to Pediatric Pulmonology
27 Mar 2021Assigned to Editor
27 Mar 2021Submission Checks Completed
12 Apr 2021Reviewer(s) Assigned
12 May 2021Review(s) Completed, Editorial Evaluation Pending
21 May 2021Editorial Decision: Revise Major