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Ann Thorac Surg 2003;76:2085-2087
© 2003 The Society of Thoracic Surgeons

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Case report

Bronchial adenoma: an unusual cause of recurrent pneumonia in childhood

^a Department of Pediatric Surgery, Rome, Italy
^b Department of Cystic Fibrosis, Rome, Italy
^c Department of Thoracic Surgery Policlinico Umberto I, University of Rome "La Sapienza", Rome, Italy

Accepted for publication April 28, 2003.

^* Address reprint requests to Dr Midulla, Cystic Fibrosis Service, University of Rome "La Sapienza," 324 Vle Regina Elena, 00161 Rome, Italy
e-mail: midulla{at}uniroma1.it

Primary lung tumors are rare in childhood and often overlooked owing to the nonspecific presentation. We report the case of a 15-year-old boy with a 3-year history of recurrent pneumonia always involving the right lower lobe due to bronchial mucinous adenoma. After endoscopic removal the tumor recurred locally, necessitating open surgical resection of the tumor. In a child with localized recurrent pneumonia of uncertain pathogenesis, the differential diagnosis should include a primary lung tumor. Bronchial adenomas should not be removed endoscopically; patients must undergo open thoracotomy for surgical excision.