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Eyssartier E.,Service de chirurgie pediatrique viscerale | Ang P.,Unite de Specialites Pediatriques | Bonnemaison E.,Unite de Specialites Pediatriques | Gibertini I.,Unite de Specialites Pediatriques | And 9 more authors.
Pediatric Pulmonology

Primary endobronchial tumors are rare in children and they include a broad spectrum of lesions. The aim of this study was to determine the characteristic features, treatments and outcomes of these tumors. We report a retrospective analysis of all patients treated for endobronchial tumor in nine French hospitals between 1990 and 2010 and a comparison of the results with those reported in the medical literature. Twelve tumors were reported: five low grade muco epidermoid carcinomas, two inflammatory myofibroblastic tumors, two hemangiomas, one anaplastic large cell lymphoma, one carcinoid tumor, and one juvenile xanthogranuloma. The mean age of the patients was 7.5 ± 3.5 years. The most common sign revealing the disease was persistent atelectasis or recurrent pneumonia (eight cases). The other revealing signs were a persistent bronchospasm (three cases) and hemoptysis (one case). The clinical presentation, biology, serum tumor markers, and chest X-ray abnormalities were not specific to a particular histological diagnosis. Chest CT scan revealed the presence of an endobronchial tumor in 11 cases. Nine tumors could be diagnosed from a biopsy obtained by video endoscopy. Complete surgical resection was performed in seven patients. Bronchoscopic removal was performed in five cases and was successful in three. There were no deaths. Endobronchial tumors are rare in childhood and their histology is diverse. Chest CT scan and per-endoscopic endobronchial biopsies are required for diagnosis, when possible. Surgical or endoscopic treatment should be discussed by a multidisciplinary team. Despite the multiple etiologies, the prognosis of these tumors is good if diagnosis is early and if resection is complete. Long-term recurrences have been described, so long-term follow-up of these children is recommended. © 2014 Wiley Periodicals, Inc. Source

Eyssartier E.,Service de chirurgie pediatrique viscerale | Mourtada H.,Service de pediatrie | Dieckmann A.-K.,Service de pediatrie | Maillard R.,Service de radiologie | Lardy H.,Service de chirurgie pediatrique viscerale
Archives de Pediatrie

Endoscopic subureteric implantation of polydimethylsiloxane (Macroplastique®) to treat vesico-ureteric reflux is known to be safe and efficient, but long-term complications of this technique are often unknown. A 15-year-old patient was admitted to several hospital services with abdominal pain in the right lower quadrant and chronic limping. After multiple examinations, the diagnosis of renal colic due to the calcification of a Macroplastique® implant was made. Calcification of an implant after endoscopic subureteral injection has already been described in the literature, but the clinical presentation of this complication is poorly reported, which can delay the diagnosis. The treatment can consist in an exeresis of the implanted material or even in ureteral reimplantation. © 2012 Elsevier Masson SAS. Source

Eyssartier E.,Service de chirurgie pediatrique viscerale | Villemagne T.,Service de chirurgie pediatrique viscerale | Maurin L.,Service de Radiologie et Imagerie Medicale | Machet M.C.,Service dAnatomie et de Cytologie Pathologiques | Lardy H.,Service de chirurgie pediatrique viscerale
Journal of Pediatric Urology

Lipoblastomas are rare benign mesenchymal tumors of fetal white fat tissue appearing most commonly in children under 3 years of age, and usually affecting the extremities. Only nine cases of intrascrotal lipoblastoma have been reported to our knowledge, and although they are benign, in one case an orchidectomy was performed. We describe two new cases of intrascrotal lipoblastoma, and review the literature. Source

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