Imaging of congenital cystic lung lesions

Williams, Helen; Johnson, Kirsten

doi:10.1016/s1526-0550(02)00006-9

Cited by 80 publications

(51 citation statements)

References 19 publications

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“…In reconstruction (d) shows the systemic arterial supply (white arrow) and the pulmonary venous drainage (white arrowhead). Low power view of intralobar sequestration (e) shows pleural fibrosis and mild inflammatory changes in pulmonary parenchyma with mucus in some alveoli (H&E, 940) the literature, the diagnostic accuracy of this method ranges between 56 and 77 %, very similar to our results [10,[15][16][17].…”

Section: Discussionsupporting

confidence: 88%

Congenital cystic lung disease: prenatal ultrasound and postnatal multidetector computer tomography evaluation. Correlation with surgical and pathological data

Bondioni

Gatta²,

Lougaris

et al. 2014

Radiol med

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Purpose The aim of this study was to evaluate the diagnostic accuracy of postnatal multidetector computed tomography (MDCT) compared with prenatal ultrasound (US), surgical findings, and histology, in 33 patients with congenital cystic lung disease. Methods Thirty-three patients, 17 males and 16 females, were evaluated by MDCT. Twenty-seven of these patients underwent prenatal US between week 18 and 22, and between week 32 and 35 of gestation. Lung lobectomy, segmentectomy, atypical resection, lesion resection were performed in 31 patients and surgical specimens were analysed. Results Prenatal US and MDCT correctly diagnosed 76.9 and 94 % of the lesions, respectively. Disagreement occurred in six lesions with prenatal US and in two lesions with MDCT. No statistically significant differences were observed between the two techniques (P = 0.122). Conclusions As most surgeons consider the surgical resection of these lesions mandatory, our study underscores the essential role of imaging, in particular CT, in providing invaluable preoperative information on congenital cystic lung diseases recognised in uterus.

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Section: Discussionsupporting

confidence: 88%

Congenital cystic lung disease: prenatal ultrasound and postnatal multidetector computer tomography evaluation. Correlation with surgical and pathological data

Bondioni

Gatta²,

Lougaris

et al. 2014

Radiol med

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“…Direct thoracic radiography is usually sufficient to establish a diagnosis of CLE, but in suspected cases, CT also aids in the diagnosis. [14] On thoracic radiographs and CT scans, hyperlucency, a collapsed adjacent lobe, and a mediastinal shift as well as a hyperinflated lobe with herniation to the other side have been observed. Tense and thinned veins have also been observed in the emphysematous lobe on CT.…”

Section: Discussionmentioning

confidence: 96%

Surgical treatment of congenital lobar emphysema: A report of nine patients

Aydın¹

2012

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada konjenital lober amfizem (KLA)'li dokuz çocuğa uygulanan cerrahi tedavinin sonuçları sunuldu. Ça lış ma pla nı: Mart 1996 -Şubat 2011 tarihleri arasında kliniğimizde KLA tanısı konulan ve pulmoner rezeksiyon uygulanan dokuz çocuk hasta (5 erkek, 4 kız; ort. yaş 19.9 ay; dağılım 40 gün-6 yıl) geriye dönük olarak incelendi. Hastaların semptomları, amfizemli lobun yerleşim yeri, tanısı, tedavi şekli, morbidite ve mortalite oranları ve hastane yatış süreleri gözden geçirildi. Bul gu lar: Dispne hastaların tümünde vardı, fakat hastalık dördünde ciddi idi. Amfizem üç hastada sağ orta lobda, üç hastada sol üst lobda, bir hastada sağ üst lobda ve bir hastada sol alt lobda tespit edildi. Dokuzuncu ve son hastada ise sağ üst ve orta lob birlikte tutulmuş idi. Konjenital amfizemden etkilenen loblar tüm hastalarda rezeke edildi. Ameliyat sonrası morbidite ve mortalite hiç kimsede gözlenmedi ve ameliyat sonrası ortalama hastane yatış süresi 5.8 (dağılım 3-7 gün) gün idi. So nuç: Konjenital lober amfizemli çocuklarda pulmoner rezeksiyon düşük morbidite ve mortalite oranları ile hızlı, güvenli ve hastalığı tamamen ortadan kaldıran bir tedavi yöntemidir.Anah tar söz cük ler: Çocuk; konjenital lober amfizem; pulmoner rezeksiyon.

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“…Most of our cases with undefined prenatal diagnosis were postnatally diagnosed as CLE (55%). Although missing some of these screening prenatal diagnoses is inevitable, even in expert hands, paying attention to controversial clues and ambiguous hints should prompt radiologists to apply further modalities, such as ultra-fast magnetic resonance imaging (7,8). Unfortunately, all of the pathology reports neglected to include Immune-Histo-Chemical staining, which is necessary for prediction of probable future malignant transformation (9,10).…”

Section: Discussionmentioning

confidence: 99%

An Eleven-Year Review of Congenital Pulmonary Lesions in a Referral Children’s Hospital in Tehran

Shahkar

Sanii

Biglari

et al. 2016

Arch Pediatr Infect Dis

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Background: Congenital pulmonary lesions may be diagnosed through ultrasonographic screenings or be revealed as causes of respiratory distress in the neonatal period and infancy. Less commonly, they are detected as incidental features. Objectives: Our study represents the diversity of congenital pulmonary lesions and their characteristics during an 11-year period in a referral teaching children's hospital in Tehran, the capital city of Iran. Methods: Data from an 11-year period of patients with the final diagnosis of congenital pulmonary lesions in Mofid Children's hospital were reviewed. The data included the prenatal ultrasonographic, postnatal radiographic, and pathologic diagnoses, along with the patient's age, way of presentation, length of hospitalization, and accompanying features and morbidities. Results: Of 37 cases of congenital pulmonary lesions, 28 cases (75%) were boys. Thirty-six cases (97.2%) presented with pure pulmonary signs and symptoms. Of these cases, 16 (43.2%) were neonates, 17 (46%) were infants, and 4 (10.8%) were children. Twentyseven (73%) patients missed the opportunity for early diagnosis. In order of frequency, cases were diagnosed as congenital lobar emphysema (43.5%), congenital cystic adenomatoid malformation (32.5%), pulmonary sequestration (19%), hybrid lesion (2.5%), or bronchogenic cyst (2.5%). Conclusions:In an analysis of retrospective data of 37 congenital pulmonary lesions, male predominance was obvious, as has been found in previous studies.

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Imaging of congenital cystic lung lesions

Cited by 80 publications

References 19 publications

Congenital cystic lung disease: prenatal ultrasound and postnatal multidetector computer tomography evaluation. Correlation with surgical and pathological data

Congenital cystic lung disease: prenatal ultrasound and postnatal multidetector computer tomography evaluation. Correlation with surgical and pathological data

Surgical treatment of congenital lobar emphysema: A report of nine patients

An Eleven-Year Review of Congenital Pulmonary Lesions in a Referral Children’s Hospital in Tehran

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