Congenital cystic adenomatoid malformation of the clinical and pathological analysis of 20 cases.docVIP

 PAGE \* MERGEFORMAT 14 Congenital cystic adenomatoid malformation of the clinical and pathological analysis of 20 cases Keywords: Congenital cystic adenomatoid malformation of the Congenital cystic adenomatoid malformation (congenital cystic adenomatoid malformation of lung, CCAM) is a rare lung abnormalities. By Chin and Tang in 1949 as a unique pathological diseases was first reported [1]. Authors from January 2000 to May 2007 treated 20 patients with pathological diagnosis of congenital cystic adenomatoid malformation of the lung. Report are as follows. A clinical data 1.1 General Information This group of cases, 12 males and 8 females; aged 20d ~ 12 years, an average of 1.3 years. Course 1d ~ 6 months. Clinical manifestations of cough, sputum, fever in 13 cases; four cases of difficulty breathing, funnel chest, chest pain, symptoms physical examination was found in 1 case. All children were proactive preoperative concurrent X-ray CT scan. 10 cases of pulmonary occurred about 2.5 ~ 12cm in diameter the balloon cavity, some see the separation and liquid capsule, large capsule around the common small-capsule, 10 cases showed more than 0.3 ~ 1.4cm in diameter cystic mass, the size of the cavity is not 1, 8 cases of lung markings blurred. Lesions were indeed changed appearance changes in the performance of similar mass in the lesion in the increasing transparency of visible light transmission irregular small cystic areas in 2 cases. 9 cases of mediastinal shift. All patients underwent open heart surgery to remove lesions in lung tissue. See all the lesions in the lung surgery or lung volume expansion segment. Lesions were unilateral, eight cases of violation of the left lobe, right lobe in 12 cases. In which the upper left, lower lobe of 4 cases; right upper and lower lobes of all five cases, the right medium and in the lower lobe in 1 case. -III clinical CCAM appeared as progressive dyspnea, the incidence 1 ~ 5d. 1.2 Me