Abstract
In children, primary lung tumors are rare, but metastases are much more common. Lung masses in children are ten-times more likely to be a developmental or reactive lesion than a tumor. The ratio of primary tumors to metastatic tumors to non-neoplastic lesions is estimated to be 1:5:60.1 [1]. On the basis of the rarity of primary lung tumors in children, the diagnosis remains a challenge. Several cases are asymptomatic or present with non-specific symptoms, and they are discovered incidentally. Non-specific respiratory symptoms such as wheezing, persistent cough, hemoptysis, or recurrent episodes of pneumonia may be attributed initially to other diseases (e.g., asthma, inflammatory processes), so diagnosis can be delayed. Even if a mass is found, it may not be possible to differentiate endobronchial lesions and cystic parenchymal lesions from reactive processes or lung malformations on imaging studies. It may also be difficult to distinguish between benign and malignant lesions without histological examination. Thus, all lung lesions in children should be removed to clearly ascertain the true origin.
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Masetti, R., Bertelli, L., Zama, D., Belotti, T., Pession, A. (2013). Lung Tumors. In: Lima, M. (eds) Pediatric Thoracic Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5202-4_36
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DOI: https://doi.org/10.1007/978-88-470-5202-4_36
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