Intralobar sequestration associated with cystic adenomatoid malformation: diagnostic and thoracoscopic pitfalls

Zeidan, Smart; Hery, G.; Lacroix, F.; Gorincour, Guillaume; Potier, A.; Dubus, J.-C.; Guys, Jean-Michel; Lagausie, Pascal de

doi:10.1007/s00464-008-0183-7

Cited by 34 publications

(17 citation statements)

References 15 publications

(20 reference statements)

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“…In adult patient, CCAM is a nidus for pneumonia, abscess formation, fungal infections, spontaneous pneumothorax, hemoptysis, air embolism, intralobar sequestration, and development of bronchogenic carcinoma. [121314] Serial antenatal sonographic evaluation, good obstetric care, and delivery at a tertiary care center are preferred plan of treatment for antenataly detected cases. Postnatal and in adults patients, lobectomy is the treatment of choice for symptomatic cases.…”

Section: Discussionmentioning

confidence: 99%

Congenital cystic adenomatoid malformation of lung: Report of two cases with review of literature

2013

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Congenital cystic adenomatoid malformations (CCAM) also known as congenital pulmonary airway malformation is a developmental, non-hereditary, hamartomatous abnormality of lung with unknown etiology. It is a rare disease with an incidence of 1 in 25,000 to 1 in 35,000. It is a disease of infancy with most of the cases diagnosed within first 2 years of life. We report autopsy findings of two fetuses with congenital cystic adenomatoid malformation (Stocker Type II and I) with brief review of literature.

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Section: Discussionmentioning

confidence: 99%

Congenital cystic adenomatoid malformation of lung: Report of two cases with review of literature

2013

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“…Cutaneous lung tissue heterotopia is easily differentiated from pulmonary sequestration, teratoma, bronchogenic cyst, and branchial cleft cyst by histology and the location of the mass. Pulmonary sequestration is a nonfunctioning lung tissue supplied by a systemic artery, not connected to bronchi, and containing a mesothelial cell layer (4, 5). We did not find a mesothelial cell layer in this case.…”

Section: Discussionmentioning

confidence: 99%

The First Korean Case of Cutaneous Lung Tissue Heterotopia

et al. 2010

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Cutaneous lung tissue heterotopia is a very rare disorder where mature lung tissues develop in the skin. This is only the second known report of cutaneous lung tissue heterotopia, with the first by Singer et al. in 1998. A newborn infant had a hemangioma-like, freely movable mass connected to the anterior aspect of the sternal manubrium. Pathologic findings showed mature lung tissues with bronchi, bronchioles, and alveoli through the dermis and subcutis, and it was diagnosed as cutaneous lung tissue heterotopia. Cutaneous lung tissue heterotopia is hypervascular, so grossly it looks like a hemangioma. It can be differentiated from pulmonary sequestration, teratoma, bronchogenic cyst, and branchial cleft cyst by histology and the location of the mass. We describe the clinical, radiologic, and pathologic findings of a cutaneous lung tissue heterotopia, the first reported in Korea.

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“…Comparative studies are few and show little difference in terms of outcome, apart from arguably better cosmesis in the thoracoscopic group [88,91,92]. Minimally invasive resection of CCAM results in longer operative time but shorter hospital stay and decreased postoperative pain [88,89]. Thoracoscopic lobectomy in patients with a history of pneumonia is challenging and a risk factor for conversion to thoracotomy [92,93].…”

Section: Thoracoscopymentioning

confidence: 98%

“…However, where more than one lobe of the lung is involved (unusual), then lung-sparing surgery has to be performed [88]. Preoperative identification of aberrant vessels is important for prevention of operative morbidity and should aid vascular control before the lobectomy is begun [89]. For those adults not being born in the modern antenatal scans era, identified to have congenital cystic lung lesions, face a risk of these cysts turning malignant.…”

Section: Post-natal Surgerymentioning

confidence: 99%

Congenital Parenchymal Lesions of the Lung

N¹,

Davenport²

2011

CRMR

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Increasing use of ultrasonography during pregnancy has uncovered a range of parenchymal lesions within the lung, some of which will, if left, be a cause of morbidity and occasional mortality. These include congenital cystic adenomatoid malformations (CCAM), bronchopulmonary sequestration (BPS), congenital lobar & segmental emphysema and bronchogenic cysts. Adverse antenatal features include mediastinal shift, caval obstruction, and (rarely) hydrops. This review aims to define current thoughts on these lesions and suggest appropriate management.

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Intralobar sequestration associated with cystic adenomatoid malformation: diagnostic and thoracoscopic pitfalls

Abstract: Prenatal diagnosis of the ILS-CCAM association was possible, as was resolution of one or both components of this lesion. Preoperative identification of the aberrant vessel is important for prevention of operative morbidity. This should be controlled before the lobectomy is begun.

Cited by 34 publications

References 15 publications

Congenital cystic adenomatoid malformation of lung: Report of two cases with review of literature

Congenital cystic adenomatoid malformation of lung: Report of two cases with review of literature

The First Korean Case of Cutaneous Lung Tissue Heterotopia

Congenital Parenchymal Lesions of the Lung

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