Congenital lung lesions.
Confusion, controversy, and uncertainty are all terms applicable to the diagnosis and management of congenital lung lesions both prenatally and postnatally. This review examines the current status of fetal diagnosis and treatment of these lesions; reviews the various classifications, including congenital cystic adenomatoid malformation/congenital pulmonary airway malformation, sequestrations, variants and hybrid lesions; discusses the risk of malignant transformation or misdiagnosis with pleuropulmonary blastoma; presents the arguments in favor and against resection of asymptomatic lesions, the timing of such resection, and the long-term pulmonary function after resection; and reviews the experience with thoracoscopic resection of congenital lung lesions.
Pediatric Surgery, Montreal Children's Hospital, McGill University Health Center, McGill University, 2300 Tupper Street, Suite C-811, Montreal, Quebec H3P 1P3, Canada.
Pramod S
PS
Puligandla
Jean-Martin
JM
Laberge
D001623:Betamethasone / Q000627:therapeutic use*; D001998:Bronchopulmonary Sequestration / Q000000981:diagnostic imaging / Q000601:surgery; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control; D008175:Lung Neoplasms / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D011296:Prenatal Diagnosis; D018633:Pulmonary Atresia / Q000175:diagnosis; D018202:Pulmonary Blastoma / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D014463:Ultrasonography
D001623:Betamethasone