CCAMの臨床像と治療上の問題点

概要

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In the last 20 years, 147 patients with thoracic surgical diseases in infants and children beside tracheobronchial varieties were seen at the Kobe Children's Hospital. Of these 147 patients, there were 45 patients with diseases of lung parenchyma, including CCAM. This paper summarizes our experiences in the management of pediatric lung cysts. Thirteen out of the 45 patients were clinically observed to have air cyst. CCAM was pathologically diagnosed from the beginning in only 4 but later careful review of the tissue specimen in 3, which had been interpreted as bronchogenic cyst. Review of these 7 Patients disclosed that 1) Cystic disease of the lung occurring in the early neonatal period without infectious history should be managed with the working diagnosis as CCAM. 2) Cystectomy or partial resection of the lung segment is inadequate in CCAM, leaving a risk of recurrence. 3) Segmentectomy or lobectomy which includes the lesion is recommended in the management of CCAM.
特定非営利活動法人日本小児外科学会の論文
1991-06-20