title: Congenital lung malformations: an ongoing controversy.
abstract: BACKGROUND
  Congenital lung malformations are rare lesions that are most commonly diagnosed antenatally. Management of such lesions, particularly those that are asymptomatic, remains controversial. We undertook a survey to ascertain current practice of surgeons in the UK and Ireland.
  
  
  METHODS
  All consultant members of the British Association of Paediatric Surgeons were asked to complete a survey on congenital lung malformations with respect to antenatal management, symptomatic and asymptomatic lesions, and operative techniques.
  
  
  RESULTS
  Responses were received from 20 paediatric surgical centres and highlighted the ongoing variability in management of such lesions, particularly those that are asymptomatic. Twenty per cent of surgeons never resect an asymptomatic lesion and twenty-four per cent always do. The remainder intervene selectively, with size being the most commonly stated indication. Most resections are undertaken via thoracotomy although 35% of surgeons use thoracoscopy for some procedures.
  
  
  CONCLUSIONS
  National data based on congenital anomaly registers are needed to determine the natural history of these malformations and to guide future management.
authors.affiliation: Central Manchester University Hospitals NHS Foundation Trust, UK. rtp199@doctors.org.uk
authors.forename: R T
authors.initials: RT
authors.lastname: Peters
authors.forename: D M
authors.initials: DM
authors.lastname: Burge
authors.forename: S S
authors.initials: SS
authors.lastname: Marven
mesh_terms: D001998:Bronchopulmonary Sequestration / Q000601:surgery*; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000601:surgery*; D019538:Health Care Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007494:Ireland; D008168:Lung / Q000002:abnormalities* / Q000601:surgery; D011181:Postnatal Care / Q000379:methods / Q000706:statistics & numerical data; D011295:Prenatal Care / Q000379:methods / Q000706:statistics & numerical data; D011364:Professional Practice / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013903:Thoracic Surgery / Q000706:statistics & numerical data*; D019616:Thoracic Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data; D006113:United Kingdom