We study the fluctuation statistics of integrated currents in noisy quantum diffusive systems, focusing on the Quantum Symmetric Simple Exclusion and Inclusion Processes (QSSEP/QSSIP). These one-dimensional fermionic (QSSEP) and bosonic (QSSIP) models feature stochastic nearest-neighbor hopping driven by Brownian noise, together with boundary injection and removal processes. They provide solvable microscopic settings in which quantum coherence coexists with diffusion. Upon noise averaging, their dynamics reduce to those of the classical SSEP/SSIP. We show that the cumulant generating function of the integrated current, at large scales, obeys a large deviation principle. To leading order in system size and for each noise realization, it converges to that of the corresponding classical process, establishing a classical typicality of current fluctuations in these noisy quantum systems. We further demonstrate a direct connection with Macroscopic Fluctuation Theory (MFT), showing that the large-scale equations satisfied by biased quantum densities coincide with the steady-state Hamilton equations of MFT, thereby providing a microscopic quantum justification of the MFT framework in these models. Finally, we identify the leading finite-size corrections to the current statistics. We show the existence of subleading contributions of purely quantum origin, which are absent in the corresponding classical setting, and provide their explicit expressions for the second and third current cumulants. These quantum corrections are amenable to direct experimental or numerical verification, provided sufficient control over the noise realizations can be achieved. Their presence points toward the necessity of a quantum extension of Macroscopic Fluctuation Theory.