Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | Search | About Us | FAQ | Reviews | Contact Us
Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

Additional pediatric resources: SearchingPediatrics.com | PediatricEducation.org Facebook iconTwitter iconRSS icon | GeneralPediatrics.com | Pediatric Commons


Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 55 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 55

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Fifteen year old female with a non-productive cough

Clinical History:
The patient was a 15 year old female who at the age of 12 years old had cysts incidentally noted in her lungs on a chest film. One month ago, she developed symptoms including a dry, non-productive cough. The patient did not have a history of foreign travel or a history of unusual exposures.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
A sweat test was negative.

Clinical Differential Diagnosis:
Papillomatosis

Imaging Findings:
A chest film demonstrated multiple, variably sized cystic lesions in both lungs. These were better characterized on a chest CT exam. Abdomen CT exam (not provided) was unremarkable.

icon gificon gifImages 1 and 2

icon gificon gifImages 3 and 4

Imaging Differential Diagnosis:
Fungal / granulomatous / indolent bacterial infection, atypical metastatic disease, cystic fibrosis, eosinophilic granuloma.

Operative Findings:
A bronchoscopy was performed and failed to reveal any papillomas in the airways. An open lung biopsy was then performed.

Pathological Findings:
Pathological examination of the surgical specimen revealed the presence of bronchoalveolar carcinoma.

Final Diagnosis:
Bronchoalveolar Carcinoma

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. It was decided not to treat the patient until she became severely symptomatic as the tumor is usually slow growing and the chemotherapeutic agent is quite toxic.

Similar Cases:
None

References:

Title Page


Follow us on Twitter @pedseducationTwitter icon and @pedsimagingTwitter icon

Additional pediatric resources: SearchingPediatrics.com | PediatricEducation.org Facebook iconTwitter iconRSS icon | GeneralPediatrics.com | Pediatric Commons


Home | Search | About Us | FAQ | Reviews | Contact Us

Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. [Google+ Profile] and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright 1992-2014 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.