|
|
|
| CT diagnosis of congenital cystic adenomatoid malformation of lung in adult |
| Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China |
|
|
|
|
Abstract Objective: To investigate the CT manifestation of congenital cystic adenomatoid malformation(CCAM) of lung in adult. Methods: From March 2005 to November 2015, 9 patients with CCAM confirmed by postoperative pathology underwent CT scanning or enhanced CT scanning preoperatively. The CT manifestation and pathological style were analyzed. Results: The lesions of 7 cases were in the right lung, 2 cases in the left lung; 7 cases involved a single lobe, only 2 cases involved two lobes. The CT manifestations of 9 cases with CCAM included macrocystic type(diameter >2 cm) in 8 cases and microcystic type(diameter <2 cm) in 1 case. 6 cases of the macrocystic type contained less than 3 cysts with smooth wall, filled fluid. 2 cases of the macrocystic type were polycystic structure(>3), and the cyst wall was not smooth, with ridge-like protrusions and multiple separation. 1 case of microcystic type was honeycomb structures with homogenous cyst size(<2 cm). Finally, pathological results of 8 macrocystic cases were Stocker’s typeⅠ, the microcystic case was Stocker’s typeⅡ. Conclusion: The CT manifestations of CCAM had a certain characteristics, and might predict the pathological type. CT examination was useful for the preoperative diagnosis of CCAM.
|
|
Received: 02 February 2015
|
|
|
|
|
|
[1]Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung[J]. Classification and morphologic spectrum[J]. Hum Pathol, 1977, 8(2): 155-171.
[2]Argeitis J, Botsis D, Kairi-Vassilatou E, et al. Congenital cystic adenomatoid lung malformation: report of two cases and literature review[J]. Clin Exp Obstet Gynecol, 2008, 35(1): 76-80.
[3]Moerman P, Fryns JP, Vandenberghe K, et al. Pathogenesis of congenital cystic adenomatoid malformation of the lung[J]. Histopathology, 1992, 21(4): 315-321.
[4]卢根，申昆玲，胡英惠，等. 小儿先天性肺囊性腺瘤样畸形23例诊治分析[J]. 中国实用儿科杂志，2009，24（7）：539-541.
[5]席艳丽，唐文伟，张新荣. 小儿先天性肺囊性腺瘤样畸形的影像与病理对照分析[J]. 中国医学影像技术，2010，26（8）：1488-1491.
[6]吴德红，龚晓虹，陈文，等. 先天性肺囊性腺瘤样畸形CT表现[J]. 医学影像学杂志，2015，25（2）：242-245.
[7]苏金亮，周利民，纪建松，等. 先天性肺囊性腺瘤样畸形的CT表现[J]. 放射学实践，2012，27（1）：46-48.
[8]Zhang ZJ, Huang MX. Children with congenital cystic adenomatoid malformation of the lung CT diagnosis[J]. Int J Clin Exp Med, 2015, 8(3): 4415-4419.
[9]McAdams HP, Kirejczyk WM, Rosado-de-Christenson ML, et al. Bronchogenic cyst: imaging features with clinical and histopathologic correlation[J]. Radiology, 2000, 217(2): 441-446.
[10]Pardes JG, Auh YH, Blomquist K, et al. CT diagnosis of congenital lobar emphysema[J]. J Comput Assist Tomogr, 1983, 7(6): 1095-1097.
[11]Muller CO, Berrebi D, Kheniche A, et al. Is radical lobectomy required in congenital cystic adenomatoid malformation?[J]. J Pediatr Surg, 2012, 47(4): 642-645. |
|
|
|
2016, Vol. 27 
