Acute haemothorax and pleuropulmonary blastoma: Two extremely rare complications of extralobar pulmonary sequestration

Preziosi, Alessandra; Morandi, Anna; Francesca, Galbiati; Scanagatta, Paolo; Chiaravalli, Stefano; Maria, Fagnani Anna; Antonio, Di Cesare; Macchini, Francesco; Leva, Ernesto

doi:10.1016/j.epsc.2022.102238

Cited by 1 publication

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“…Lobectomy is more appropriate even to prevent the rare risk of malignant transformation (rhabdomyosarcoma, pulmonary blastoma), which is most frequently described in isolated or associated CCAM [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

Do More with Less? Lobectomy vs. Segmentectomy for Patients with Congenital Pulmonary Malformations

Marinucci

Menna

Scanagatta

et al. 2023

JCM

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Background: Congenital Pulmonary Malformations (CPMs) are rare benign lesions potentially causing infective complications and/or malignant transformation, requiring surgery even when asymptomatic. CPMs are rare in adulthood but potentially detected at any age. There is not a consensus on the correct extent of resection in both adults and paediatrics. This retrospective multicentric study aims to identify the appropriate surgical resection to prevent the recurrence of the related respiratory symptoms. Methods: Between 2010 and 2020, a total of 96 patients (adults and pediatrics) underwent surgery for CPMs in 4 centers. A 2:1 propensity score matching (considering sex and lesion side) was performed, identifying 2 groups: 50 patients underwent lobectomy (group A) and 25 sub-lobar resections (group B). Clinical and histopathological characteristics, early and late complications, and symptom recurrence were retrospectively analyzed and compared between the two groups by univariate and multivariate analysis. Results: Patients who underwent lobectomy had a statistically significant lower rate of recurrence (4% vs. 24% of group B, p = 0.014) and a lower rate of intraoperative complications (p = 0.014). Logistic regression identified sub-lobar resection (p = 0.040), intra- and post-operative complications (p = 0.105 and 0.022),and associated developed neoplasm (p = 0.062) as possible risk factors for symptom recurrence after surgery. Conclusions: Pulmonary lobectomy seems to be the most effective surgical treatment for CPMs, guaranteeing the stable remission of symptoms and a lower rate of intra- and postoperative complications. To our knowledge, this is one of the largest studies comparing lobectomy and sub-lobar resections in patients affected by CPMs, considering the low incidence worldwide.

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Section: Discussionmentioning

confidence: 99%