2009
DOI: 10.4103/0189-6725.54776
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Cystic adenomatoid malformation of the lung: A diagnostic dilemma

Abstract: Congenital cystic adenomatoid malformation (CCAM) of the lung is an uncommon anomaly that arises from excessive disorganised proliferation of tubular bronchial structures excluding the alveoli. These are believed to represent focal pulmonary dysplasia because skeletal muscle may be identified from within the cyst wall. This report describes a case of an infant operated for presumed diagnosis of congenital diaphragmatic hernia. Diaphragm was found to be normal and further investigations revealed cystic mass in … Show more

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Cited by 6 publications
(5 citation statements)
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“…CCAM represents focal pulmonary dysplasia as confirmed by identification of skeletal muscle within cyst wall. [4] Embryologically, based on anatomical changes occurring in lung, vertebrate lung development has been subdivided into five distinct periods: embryonic (3-7 weeks), pseudoglandular (7-17 weeks), canalicular (17-29 weeks), saccular (24-36 weeks), and alveolar (36 weeks to maturity). The CCAM develops during pseudoglandular and saccular period (7-35weeks).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…CCAM represents focal pulmonary dysplasia as confirmed by identification of skeletal muscle within cyst wall. [4] Embryologically, based on anatomical changes occurring in lung, vertebrate lung development has been subdivided into five distinct periods: embryonic (3-7 weeks), pseudoglandular (7-17 weeks), canalicular (17-29 weeks), saccular (24-36 weeks), and alveolar (36 weeks to maturity). The CCAM develops during pseudoglandular and saccular period (7-35weeks).…”
Section: Discussionmentioning
confidence: 99%
“…The CCAM develops during pseudoglandular and saccular period (7-35weeks). [4] The incidence of CCAM is one in 25,000 to 1 in 35,000 pregnancies with males and females equally affected. CCAM constitutes 25% of all congenital lung lesions.…”
Section: Discussionmentioning
confidence: 99%
“…These are believed to represent focal pulmonary dysplasia because skeletal muscle may be identified from within the cyst wall. 4 Male subjects are affected as frequently as female subjects. The left lung is involved as often as the right lung with single lobe disease observed four times more often than multilobe disease.…”
Section: Case Reportmentioning
confidence: 99%
“…3 It arises from excessive disorganized proliferation of tubular bronchial structures excluding the alveoli which are believed to represent focal pulmonary dysplasia. 4 In this anomaly, an entire lobe of the lung is replaced by a non-working cystic mass of abnormal lung tissue whose blood supply is derived from the normal lung circulation. 5 Although the cause is unknown, 1 they are considered to be bronchopulmonary foregut malformations, probably caused by an arrest in lung development between the fourth and seventh week of fetal life.…”
Section: Introductionmentioning
confidence: 99%