Secuestro pulmonar extralobar asintomático y la importancia del diagnóstico y tratamiento perinatal: El manejo expectante no es una opción terapéutica

Sancho-Hernández, Rogelio; Solorio-Rodríguez, Lizbeth; Durán-Colín, Anné Azriel; Iribe-Gaxiola, Yolanda; Cuevas-Schacht, Francisco; López-Corella, Eduardo

doi:10.35366/63380

Cited by 4 publications

(7 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They referred that since there are no clear prognostic indicators in the current literature on the malignant potential and the risk of infection of pulmonary sequestration and CPAM, expectant management remains an experimental option. Therefore, elective surgery could be recommended during early breastfeeding (less than six months), due to the favorable immunological profile at this age, rather than due to statistical circumstances 16 . San Vicente et al have reported that surgical management should be the treatment of choice, even in asymptomatic cases, because of the risk of recurrence.…”

Section: B Amentioning

confidence: 99%

Pulmonary sequestration associated with congenital pulmonary airway malformation

León-Ureña¹,

Sadowinski-Pine²,

Jamaica-Balderas³

et al. 2023

BMHIME

View full text Add to dashboard Cite

Background: Congenital pulmonary malformations are a rare cause of neonatal morbidity. Some of them have a common origin, which allows the identification of combined lesions. Its diagnosis can be made prenatally by ultrasound, with the limitation that this study is performed in specialized centers and depends on the expertise of the operator. The association of pulmonary sequestration and congenital malformation of the airway has been described in approximately 40-60 cases since its first description in 1949. Many lesions are not perceptible in intrauterine life, and in the neonatal period, there are recurrent respiratory symptoms that in some cases are associated with a congenital pulmonary malformation. case report: We report the case of a young infant, who was diagnosed with pulmonary sequestration at 24 weeks of gestational age, undergoing intrauterine surgical treatment with a report of complete resolution of the malformation in posterior ultrasounds. She was valued by pediatric pneumology at four months of age, where angiotomography was performed, and the presence of pulmonary sequestration was confirmed by lobectomy. The histopathological study reported extralobar pulmonary sequestration with congenital malformation of the pulmonary airway type 2. The histopathological study identified these combined lesions. The treatment of choice was surgical. conclusions: Upon the confirmation of a malformation, we emphasize the importance of performing screening to search for other that could be associated.

show abstract

Section: B Amentioning

confidence: 99%

Pulmonary sequestration associated with congenital pulmonary airway malformation

León-Ureña¹,

Sadowinski-Pine²,

Jamaica-Balderas³

et al. 2023

BMHIME

View full text Add to dashboard Cite

show abstract

“…A la fecha, el tratamiento de elección del secuestro pulmonar y la MCVAP es quirúrgico. Sancho-Hernández, et al 16 reportaron que la capacidad de involución del secuestro pulmonar es pobre. Refieren que, al no existir indicadores pronósticos claros en la literatura actual sobre el potencial de malignidad e infección del secuestro pulmonar y la MCVAP, la conducta expectante permanece como una opción experimental.…”

Section: B Aunclassified

“…Refieren que, al no existir indicadores pronósticos claros en la literatura actual sobre el potencial de malignidad e infección del secuestro pulmonar y la MCVAP, la conducta expectante permanece como una opción experimental. Por lo tanto, la cirugía electiva podría recomendarse hasta la lactancia temprana menor de 6 meses por el momento inmunitario favorable de este grupo de edad, más que por circunstancias estadísticas 16 . Otros autores, como San Vicente, et al 17 , han referido que el manejo quirúrgico debe ser el de elección, aun en los casos asintomáticos, por el riesgo de recidivas; en su experiencia, presentaron un caso con degeneración maligna.…”

Section: B Aunclassified

“…Ambas son consideradas lesiones híbridas, diagnosticadas solo por histopatología. Patológicamente, estas lesiones muestran datos histológicos combinados 16 .…”

Section: B Aunclassified

“…Por lo expuesto anteriormente, se considera que los pacientes con antecedentes prenatales de malformaciones pulmonares deben tener seguimiento neumológico desde la etapa neonatal, aun siendo asintomáticos. El diagnóstico prenatal de estas lesiones no es un predictor confiable de las características histopatológicas de las mismas, por lo que es necesario hacer un diagnóstico diferencial transoperatorio e histopatológico confirmatorio, y la búsqueda de afecciones asociadas en todos los pacientes, sintomáticos y asintomáticos 16 .…”

Section: B Aunclassified

See 2 more Smart Citations