先天性嚢胞性腺腫様奇形(CCAM)の2切除例  [in Japanese] Two cases of congenital cystic adenomatoid malformation  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

感染を繰り返した嚢胞性病変に対し手術療法を行い,CCAMと診断された2例を経験した.【症例1】1歳,男児.最近4ヵ月の間に3度肺炎を繰り返した.胸部CTで右肺下葉に多発する嚢胞性病変を指摘された.右肺下葉切除を行い,CCAMI型と診断された.【症例2】9歳,女児.6歳時と8歳時に肺膿瘍に罹患した.胸部CTで右肺下葉に嚢胞性病変を指摘された.右肺下葉部分切除を行い,細気管支肺胞上皮癌(bronchioloalveolar carcinoma:以下BAC)を伴ったCCAMI型と診断された.<br>CCAMの治療法に関しては未だ一定の見解はない.術後再発や嚢胞残存の可能性,また術後肺機能低下などの可能性を十分に考慮し,手術方法を慎重に選択する必要がある.

We report 2 cases of congenital cystic adenomatoid malformation (CCAM). Case 1. A 1-year-old boy was admitted to our hospital because he suffered from respiratory infection three times in over 4 months. Chest computed tomography (CT) showed multiple cysts in the right lower lobe, and lobectomy was performed. The cyst was histologically diagnosed as type I CCAM. Case 2. A 9-year-old girl who suffered from pulmonary abscess 2 times in 2 years was admitted to our hospital. Chest CT showed a large cyst in her right S<sup>8</sup>. Partial resection of the right S<sup>8</sup> was performed. It was histologically diagnosed as type I CCAM with mucinous bronchioloalveolar carcinoma. Because optimal management of CCAM remains controversial, an appropriate surgical procedure should be selected.

Journal

  • The Journal of the Japanese Association for Chest Surgery

    The Journal of the Japanese Association for Chest Surgery 26(7), 739-745, 2012-11-15

    The Japanese Association for Chest Surgery

References:  30

Codes

  • NII Article ID (NAID)
    10031126002
  • NII NACSIS-CAT ID (NCID)
    AN10467885
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    09190945
  • Data Source
    CJP  J-STAGE 
Page Top