Congenital Cystic Lung Lesions: Is Surgical Resection Essential?
Can all congenital cystic lung lesions be treated conservatively, without the need for surgery? Our purpose here is to present the morbidity associated with symptomatic cystic lung lesions which have failed to respond to medical treatment. In the past 8 years, 22 consecutive cystic thoracic lesions...
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| Veröffentlicht in: | Pediatric pulmonology 2005-12, Vol.40 (6), p.533-537 |
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| creator | Parikh, Dakshesh Samuel, Madan |
| description | Can all congenital cystic lung lesions be treated conservatively, without the need for surgery? Our purpose here is to present the morbidity associated with symptomatic cystic lung lesions which have failed to respond to medical treatment. In the past 8 years, 22 consecutive cystic thoracic lesions were retrospectively assessed for clinical presentation, diagnostic modalities, operative findings, technical tribulations, and outcome. The endpoint was complete cessation of recurrent pneumonia and dysphagia. Age at presentation was 7.7 ± 2.2 years, with 4 ± 2 episodes per year of lower respiratory tract infection, which had been treated for the past 2.6 ± 0.3 years. Cough and dyspnea (100%) were the common symptoms, with episodes of cyanosis occurring in 58%. Other significant clinical presentations were dysphagia (55%), failure to thrive (55%), chest pain (46%), haemoptysis (18%), and pleuritic pain (18%). Definitive growth was seen in 91% of the excised specimens. Preoperative morbidity resulted from intractable pneumonia, dysphagia, and failure to thrive. Surgical excision was curative. All 22 children after resection are thriving, with an absence of pneumonia and dysphagia, with normal ventilation/perfusion scans, at 48 ± 6 months of follow‐up. In conclusion, surgical excision of a symptomatic cystic lung lesion that has not responded to medical treatment is recommended. Pediatr Pulmonol. © 2005 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/ppul.20300 |
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Our purpose here is to present the morbidity associated with symptomatic cystic lung lesions which have failed to respond to medical treatment. In the past 8 years, 22 consecutive cystic thoracic lesions were retrospectively assessed for clinical presentation, diagnostic modalities, operative findings, technical tribulations, and outcome. The endpoint was complete cessation of recurrent pneumonia and dysphagia. Age at presentation was 7.7 ± 2.2 years, with 4 ± 2 episodes per year of lower respiratory tract infection, which had been treated for the past 2.6 ± 0.3 years. Cough and dyspnea (100%) were the common symptoms, with episodes of cyanosis occurring in 58%. Other significant clinical presentations were dysphagia (55%), failure to thrive (55%), chest pain (46%), haemoptysis (18%), and pleuritic pain (18%). Definitive growth was seen in 91% of the excised specimens. Preoperative morbidity resulted from intractable pneumonia, dysphagia, and failure to thrive. Surgical excision was curative. All 22 children after resection are thriving, with an absence of pneumonia and dysphagia, with normal ventilation/perfusion scans, at 48 ± 6 months of follow‐up. In conclusion, surgical excision of a symptomatic cystic lung lesion that has not responded to medical treatment is recommended. Pediatr Pulmonol. © 2005 Wiley‐Liss, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.20300</identifier><identifier>PMID: 16200619</identifier><identifier>CODEN: PEPUES</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Bronchogenic Cyst - diagnosis ; Bronchogenic Cyst - surgery ; bronchogenic cysts ; Bronchopulmonary Sequestration - diagnosis ; Bronchopulmonary Sequestration - surgery ; Chest Pain - etiology ; Child ; Child, Preschool ; congenital cystic adenomatoid malformation ; Cough - etiology ; Cyanosis - etiology ; Cystic Adenomatoid Malformation of Lung, Congenital - diagnosis ; Cystic Adenomatoid Malformation of Lung, Congenital - surgery ; Deglutition Disorders - etiology ; dysphagia ; Dyspnea - etiology ; Esophageal Cyst - diagnosis ; Esophageal Cyst - surgery ; esophageal duplication cyst ; Esophagus ; Failure to Thrive - etiology ; Female ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Hemoptysis - etiology ; Humans ; Male ; Medical sciences ; Other diseases. Semiology ; Pneumology ; Pneumonectomy ; pneumonia ; Pneumonia - etiology ; Pneumonia - microbiology ; Recurrence ; Respiratory Sounds - etiology ; Retrospective Studies ; Thoracotomy ; Treatment Outcome</subject><ispartof>Pediatric pulmonology, 2005-12, Vol.40 (6), p.533-537</ispartof><rights>Copyright © 2005 Wiley‐Liss, Inc.</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3950-19a5680a0f64d7c08e38dce925d27b73c93d1c4c3da9561c626e75f2c8567c2d3</citedby><cites>FETCH-LOGICAL-c3950-19a5680a0f64d7c08e38dce925d27b73c93d1c4c3da9561c626e75f2c8567c2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.20300$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.20300$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17286858$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16200619$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parikh, Dakshesh</creatorcontrib><creatorcontrib>Samuel, Madan</creatorcontrib><title>Congenital Cystic Lung Lesions: Is Surgical Resection Essential?</title><title>Pediatric pulmonology</title><addtitle>Pediatr. Pulmonol</addtitle><description>Can all congenital cystic lung lesions be treated conservatively, without the need for surgery? Our purpose here is to present the morbidity associated with symptomatic cystic lung lesions which have failed to respond to medical treatment. In the past 8 years, 22 consecutive cystic thoracic lesions were retrospectively assessed for clinical presentation, diagnostic modalities, operative findings, technical tribulations, and outcome. The endpoint was complete cessation of recurrent pneumonia and dysphagia. Age at presentation was 7.7 ± 2.2 years, with 4 ± 2 episodes per year of lower respiratory tract infection, which had been treated for the past 2.6 ± 0.3 years. Cough and dyspnea (100%) were the common symptoms, with episodes of cyanosis occurring in 58%. Other significant clinical presentations were dysphagia (55%), failure to thrive (55%), chest pain (46%), haemoptysis (18%), and pleuritic pain (18%). Definitive growth was seen in 91% of the excised specimens. Preoperative morbidity resulted from intractable pneumonia, dysphagia, and failure to thrive. Surgical excision was curative. All 22 children after resection are thriving, with an absence of pneumonia and dysphagia, with normal ventilation/perfusion scans, at 48 ± 6 months of follow‐up. In conclusion, surgical excision of a symptomatic cystic lung lesion that has not responded to medical treatment is recommended. Pediatr Pulmonol. © 2005 Wiley‐Liss, Inc.</description><subject>Biological and medical sciences</subject><subject>Bronchogenic Cyst - diagnosis</subject><subject>Bronchogenic Cyst - surgery</subject><subject>bronchogenic cysts</subject><subject>Bronchopulmonary Sequestration - diagnosis</subject><subject>Bronchopulmonary Sequestration - surgery</subject><subject>Chest Pain - etiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>congenital cystic adenomatoid malformation</subject><subject>Cough - etiology</subject><subject>Cyanosis - etiology</subject><subject>Cystic Adenomatoid Malformation of Lung, Congenital - diagnosis</subject><subject>Cystic Adenomatoid Malformation of Lung, Congenital - surgery</subject><subject>Deglutition Disorders - etiology</subject><subject>dysphagia</subject><subject>Dyspnea - etiology</subject><subject>Esophageal Cyst - diagnosis</subject><subject>Esophageal Cyst - surgery</subject><subject>esophageal duplication cyst</subject><subject>Esophagus</subject><subject>Failure to Thrive - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hemoptysis - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>Pneumology</subject><subject>Pneumonectomy</subject><subject>pneumonia</subject><subject>Pneumonia - etiology</subject><subject>Pneumonia - microbiology</subject><subject>Recurrence</subject><subject>Respiratory Sounds - etiology</subject><subject>Retrospective Studies</subject><subject>Thoracotomy</subject><subject>Treatment Outcome</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90E1P20AQBuAVApVAe-EHIF_oAclhdjf7xYVWFk0RFo3aII6rZb2OFhw79dhq8-_rNAFunEbaeWZG-xJyQmFMAdjFatVXYwYcYI-MKBiTwsTIfTLSSohUaskPyRHiE8DQM_QDOaSSAUhqRuRL1tSLUMfOVUm2xi76JO_rRZIHjE2Nl8kNJr_6dhH9AH4GDL4b3pNrxFB30VVXH8lB6SoMn3b1mNx_u55n39P8x_Qm-5qnnhsBKTVOSA0OSjkplAcduC58MEwUTD0q7g0vqJ94XjgjJPWSyaBEybwWUnlW8GPyebt31Ta_-4CdXUb0oapcHZoerdx8lho6wPMt9G2D2IbSrtq4dO3aUrCbvOwmL_s_rwGf7rb2j8tQvNFdQAM42wGHQwRl62of8c0ppqUWenB06_7EKqzfOWlns_v85Xi6nYnYhb-vM659tlJxJezD3dSamZlPs1uwiv8DVKCQUw</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Parikh, Dakshesh</creator><creator>Samuel, Madan</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Congenital Cystic Lung Lesions: Is Surgical Resection Essential?</title><author>Parikh, Dakshesh ; Samuel, Madan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3950-19a5680a0f64d7c08e38dce925d27b73c93d1c4c3da9561c626e75f2c8567c2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Bronchogenic Cyst - diagnosis</topic><topic>Bronchogenic Cyst - surgery</topic><topic>bronchogenic cysts</topic><topic>Bronchopulmonary Sequestration - diagnosis</topic><topic>Bronchopulmonary Sequestration - surgery</topic><topic>Chest Pain - etiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>congenital cystic adenomatoid malformation</topic><topic>Cough - etiology</topic><topic>Cyanosis - etiology</topic><topic>Cystic Adenomatoid Malformation of Lung, Congenital - diagnosis</topic><topic>Cystic Adenomatoid Malformation of Lung, Congenital - surgery</topic><topic>Deglutition Disorders - etiology</topic><topic>dysphagia</topic><topic>Dyspnea - etiology</topic><topic>Esophageal Cyst - diagnosis</topic><topic>Esophageal Cyst - surgery</topic><topic>esophageal duplication cyst</topic><topic>Esophagus</topic><topic>Failure to Thrive - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hemoptysis - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>Pneumology</topic><topic>Pneumonectomy</topic><topic>pneumonia</topic><topic>Pneumonia - etiology</topic><topic>Pneumonia - microbiology</topic><topic>Recurrence</topic><topic>Respiratory Sounds - etiology</topic><topic>Retrospective Studies</topic><topic>Thoracotomy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parikh, Dakshesh</creatorcontrib><creatorcontrib>Samuel, Madan</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parikh, Dakshesh</au><au>Samuel, Madan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congenital Cystic Lung Lesions: Is Surgical Resection Essential?</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr. Pulmonol</addtitle><date>2005-12</date><risdate>2005</risdate><volume>40</volume><issue>6</issue><spage>533</spage><epage>537</epage><pages>533-537</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><coden>PEPUES</coden><abstract>Can all congenital cystic lung lesions be treated conservatively, without the need for surgery? Our purpose here is to present the morbidity associated with symptomatic cystic lung lesions which have failed to respond to medical treatment. In the past 8 years, 22 consecutive cystic thoracic lesions were retrospectively assessed for clinical presentation, diagnostic modalities, operative findings, technical tribulations, and outcome. The endpoint was complete cessation of recurrent pneumonia and dysphagia. Age at presentation was 7.7 ± 2.2 years, with 4 ± 2 episodes per year of lower respiratory tract infection, which had been treated for the past 2.6 ± 0.3 years. Cough and dyspnea (100%) were the common symptoms, with episodes of cyanosis occurring in 58%. Other significant clinical presentations were dysphagia (55%), failure to thrive (55%), chest pain (46%), haemoptysis (18%), and pleuritic pain (18%). Definitive growth was seen in 91% of the excised specimens. Preoperative morbidity resulted from intractable pneumonia, dysphagia, and failure to thrive. Surgical excision was curative. All 22 children after resection are thriving, with an absence of pneumonia and dysphagia, with normal ventilation/perfusion scans, at 48 ± 6 months of follow‐up. In conclusion, surgical excision of a symptomatic cystic lung lesion that has not responded to medical treatment is recommended. Pediatr Pulmonol. © 2005 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16200619</pmid><doi>10.1002/ppul.20300</doi><tpages>5</tpages></addata></record> |
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| subjects | Biological and medical sciences Bronchogenic Cyst - diagnosis Bronchogenic Cyst - surgery bronchogenic cysts Bronchopulmonary Sequestration - diagnosis Bronchopulmonary Sequestration - surgery Chest Pain - etiology Child Child, Preschool congenital cystic adenomatoid malformation Cough - etiology Cyanosis - etiology Cystic Adenomatoid Malformation of Lung, Congenital - diagnosis Cystic Adenomatoid Malformation of Lung, Congenital - surgery Deglutition Disorders - etiology dysphagia Dyspnea - etiology Esophageal Cyst - diagnosis Esophageal Cyst - surgery esophageal duplication cyst Esophagus Failure to Thrive - etiology Female Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen Hemoptysis - etiology Humans Male Medical sciences Other diseases. Semiology Pneumology Pneumonectomy pneumonia Pneumonia - etiology Pneumonia - microbiology Recurrence Respiratory Sounds - etiology Retrospective Studies Thoracotomy Treatment Outcome |
| title | Congenital Cystic Lung Lesions: Is Surgical Resection Essential? |
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