儿童支气管黏液表皮样癌一例并误诊分析

Bronchial Mucoepidermoid Carcinoma in Children and Its Misdiagnosis:Report of One Case

支气管黏液表皮样癌临床少见,病程长短不一,症状多与肿瘤继发感染及气道阻塞有关,无明显特异性,早期难以和肺炎、气管支气管炎、慢性阻塞性肺疾病、哮喘等呼吸道疾病相鉴别,发病年龄多在20~55岁之间,在儿童中较为罕见,临床确诊依赖于支气管镜检查及病理活检,易被漏诊和误诊。

Bronchial mucoepidermoid carcinoma is a rare malignancy with varied disease courses.The symptoms are non-specific and mostly related to infection and airway obstruction secondary to the tumor.Bronchial mucoepidermoid carcinoma is difficult to be distinguished from pneumonia,tracheobronchitis,chronicobstructive pulmonary disease,asthma,and other respiratory diseases in its early stage.The age of onset is mostly between 20 and 55 years,and the disease is rarely seen in children.Confirmation of bronchial mucoepidermoid carcinoma depends on bronchoscopy and pathological biopsy,and this disease is often missed and misdiagnoed.