Is radical lobectomy required in congenital cystic adenomatoid malformation?

Muller, Cécile; Berrebi, Dominique; Kheniche, Ahmed; Bonnard, Arnaud

doi:10.1016/j.jpedsurg.2011.08.002

Cited by 42 publications

(39 citation statements)

References 14 publications

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“…It is agreed among many surgeons and pathologists that the limit between CPAM and normal parenchyma is impossible to determine[116,117,118]. Muller et al [119] demonstrated that preoperative CT is not predictive of extension of the malformation. Therefore, adopting subtotal lobectomy or segmentectomy has the risk of leaving remnants of the CPAM lesion, based only on a CT scan [120].…”

Section: Managementmentioning

confidence: 99%

“…However, a prospective study will be required to compare the long-term outcome of patients submitted to lobectomy or parenchyma-sparing resection (PSR) in terms of infection risk and neoplasia development. Some authors propose that PSR should be reserved for patients with bilobar or bilateral disease, as PSR is technically feasible and safe, with low postoperative complications [119,121,122]. …”

Section: Managementmentioning

confidence: 99%

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Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

2016

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Congenital pulmonary airway malformation (CPAM) is one of the most common lung lesions detected prenatally. Despite the research efforts made in the past few years, controversy and lack of clarity in the literature still exist regarding nomenclature, classification, pathogenesis and the management of CPAM. Therefore, it is of greatest importance to delineate the natural history of CPAMs and to create a consensus to guide the management and follow-up of these lesions. This review will focus on classification systems, highlighting the most recent advancements in pathogenesis, and current practice in the prenatal diagnosis of CPAM. Strategies of prenatal management and postnatal management will be reviewed. Long-term follow-up, including lung cancer risk, is discussed and an outcome perspective is presented.

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Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

2016

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“…[4] Although there is no precise data on treatment modalities and prognosis in adult CPAMs, most experts recommend surgical resection to confirm the diagnosis and reduce the risk of infection or malignant transformation. [3,4] Traditionally, lobectomy has been preferred because of the fear of incomplete removal of the pulmonary malformation and complications like air leak associated with lung sparing surgeries. [5,6] On the other hand, some authors suggest close observation of the lesions instead of prophylactic surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…They state that the risk of malignancy is overemphasized in these cases and prophylactic resection of CPAM lesions might not always be fully protective. [4,6] Considering the reports stating malignant transformation developing after prophylactic resection, close follow-up is absolutely necessary after resection of the lesion. [3,5,6] We performed diagnostic and prophylactic videoassisted thoracoscopic lingulectomy for our patient without any complication and kept him under close clinical follow-up.…”

Section: Discussionmentioning

confidence: 99%

Video-assisted thoracoscopic lingulectomy for type 1 congenital pulmonary airway malformation in an adult patient: a case report

Kavakli¹

2017

Turk Gogus Kalp Dama

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ÖZDoğuştan pulmoner hava yolu malformasyonu erişkinlikte alt hava yolunun nadir bir embriyonel gelişimsel anomalisidir. Bu yazıda sol akciğerin üst lobunda 8 cm çapında hava kisti ile başvuran, doğuştan pulmoner hava yolu malformasyonlu 38 yaşında bir erkek hasta sunuldu. Video yardımlı torakoskopik lingulektomi ile hava kisti rezeke edildi. Lingular segmentin histopatolojik incelemesinde tip 1 doğuştan pulmoner hava yolu malformasyonu olduğu görüldü. Cerrahi rezeksiyon doğuştan pulmoner hava yolu malformasyonu için hem tanısal hem de küratiftir. Kistik lezyonlarda doğuştan pulmoner hava yolu malformasyonu akılda tutulmalı ve uygun cerrahi girişim uygulanmalıdır.Anah tar söz cük ler: Yetişkin; doğuştan pulmoner hava yolu malformasyonu; lingulektomi; video yardımlı torakoskopik cerrahi. ABSTRACTCongenital pulmonary airway malformation is a rare embryogenic developmental anomaly of the lower respiratory tract in adulthood. In this article, we report a 38-year-old male patient with congenital pulmonary airway malformation, admitted with an 8 cm-diameter air cyst in the upper lobe of left lung. Air cyst was resected by video-assisted thoracoscopic lingulectomy. The histopathological examination of the lingular segment revealed type 1 congenital pulmonary airway malformation. Surgical resection is both diagnostic and curative for congenital pulmonary airway malformation. In cystic lesions, congenital pulmonary airway malformation should be kept in mind and appropriate surgical intervention should be performed.

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“…Ancak, tüm akciğeri tutan yaygın lezyonlarda total pulmonektomi gerekliliği vardır. Bu olgularda mortalite yüksektir ve akciğer transplantasyonu gereklidir 15,16 . Mortalite oranı %5'tir, solunum yetmezliği, sepsis, mekanik ventilasyon gereksinimi ve eşlik eden ağır komorbiditeler mortalite için risk faktörleridir.…”

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Congenital cystic adenomatoid malformation case diagnosed in the first six months of life and application of HFOV in respiratory failure due to pneumothorax

Erdoğan¹,

Oto²,

Boşnak³

2015

MMJ

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GİrİşKonjenital kistik adenomatoid malformasyon (KKAM) nadir, ancak yaşamı tehdit edebilen bir akciğer anomalisidir. Gestasyonun 6.-8. haftasında ortaya çıkan, proksimal hava yollarında matürasyon eksikliğine, alveollerde genişlemenin eşlik ettiği bir embriyolojik gelişim eksikliğidir. Değişen hacimlerde ve birbirleri ile anastomozlar gösteren prolifere terminal bronşi-oller ve kistler ile karakterizedir

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Is radical lobectomy required in congenital cystic adenomatoid malformation?

Cited by 42 publications

References 14 publications

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

Prenatal and Postnatal Management of Congenital Pulmonary Airway Malformation

Video-assisted thoracoscopic lingulectomy for type 1 congenital pulmonary airway malformation in an adult patient: a case report

Congenital cystic adenomatoid malformation case diagnosed in the first six months of life and application of HFOV in respiratory failure due to pneumothorax

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