Tumors of the Lung

Abstract

Primary lung tumors in children are rare. Although children with primary lung tumors represent a heterogeneous group of patients, analysis of the reported cases suggests that evaluation and treatment are similar in the majority of patients. Many children are asymptomatic, especially those with benign tumors; however, cough, recurrent pneumonitis, and symptoms of atypical bronchial asthma may be the initial presentation. Radiographic findings usually indicate a solitary mass lesion or evidence of airway obstruction with resultant atelectasis and pneumonitis. Because many of these tumors can be visualized by bronchoscopy, a bronchoscopic examination should be performed. Flexible bronchoscopic techniques may be helpful for diagnosis, but the use of rigid bronchoscopy with modern magnification, along with general anesthesia, is necessary if endoscopic biopsy is contemplated. Preparation for emergency thoracotomy should be made at the time of bronchoscopy in the event of life-threatening hemorrhage.