小兒的原發性肺部腺癌

Primary Lung Adenocarcinoma in a 3 Year-Old-Boy

許瓊心(C. S. Hseu) ； 黃富源(F. Y. Huang) ； 林雲南(Y. N. Lin)

《Acta Paediatrica Sinica》 18卷3期 (1977/09) Pp. 199-202

摘要

本文是報告一名三歲的男孩，因為呼吸困難及發燒而住進醫院，住院時，身體檢查發現右肺呼吸聲減低及肝腫大,實驗室檢查顯示alpha胎兒蛋白陽性，胸部X光攝影顯示右肺有均勻性的陰影，開刀發現右肺及肋膜全部變為腫瘤，切片組織檢查顯示肺部腺癌構造，死後病理解剖證實為原發性肺部腺癌。

並列摘要

Carcinoma of the lung in children is very rare in the literature, here we present a case encountered at the Mackay Memorial Hospital, and interestingly, the test for alpha-fetoprotein was positive in this case.
A 3 year-old-boy was admitted to our hospital with the chief complaints of dyspnea and fever for about one month. Review of the history showed that he became dyspnic 2-3 days after he fell down to the ground from a 5 feet height. Chest x-ray showed general haziness on the right side. The chest tap yielded 30ml blood at another hospital. Symptoms improved after 200ml serosanguinous fluid was drained out However, dyspnea and fever developed again 3 days later and he was readmitted to the Mackay Memorial Hospital. Physical examination showed decreased breath sounds on the right side, percussion dullness was also elicited on the same side. Liver was 4 finger breadths palpable below the right costal margin. Under the impression of primary lung tumor with rupture, thoracectomy was done. The right lung was occupied with the whitish medullary cancer tissue and was unresectable. Only biopsy was done. It showed adenocarcinoma of the lung. Autopsy confirmed the diagnosis.

並列關鍵字

primary lung adenocarcinoma in children ； serum alphafetoprotein