Management of pediatric airway granular cell tumor: Role of laryngotracheal reconstruction

Childhood granular cell tumors: Two case reports

“…Approximately 20 cases have been reported in children less than 17 years of age [1][2][3]5,[19][20][21][22][23]. Only one pediatric case has been described with multifocal GCT involving the trachea [4].…”

“…In some cases, an initial tracheotomy is required in order to provide an adequate airway so that the surgical intervention can be performed safely [2,21]. If an endoscopic approach is impossible or incomplete, open surgery is indicated with reconstruction as required [5].…”

“…To the best of our knowledge, only four cases of multifocal GCT with tracheal lesions have been reported in children [4,5].…”

Pediatric granular cell tumor of the tracheobronchial tree

“…4). Some authors promote biopsy and close observation [9], whereas others advocate endoscopic removal of small intraluminal lesions with close follow-up [9][10][11]. In addition, several authors recommend complete surgical excision including tracheobronchial reconstruction [10][11][12][13].…”

Tracheal and bronchial tumors

“…Approximately half of all cases originates in the head and neck, with 10% of these one having a laryngeal involvement (12,13). In children, surgical resection should be considered because of recurrent obstructive symptoms, although malignant transformation has never been documented (14).…”