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Ann Thorac Surg 2001;72:604-605
© 2001 The Society of Thoracic Surgeons

Case report

Pleuropulmonary blastoma: is prophylactic resection of congenital lung cysts effective?

Konstantinos A. Papagiannopoulos, MMEDa, Mary Sheppard, FRCPathb, Andrew P. Bush, FRCPc, Peter Goldstraw, FRCSa

a Department of Thoracic Surgery, Royal Brompton Hospital, London, England, United Kingdom
b Department of Pathology, Royal Brompton Hospital, London, England, United Kingdom
c Department of Pediatrics, Royal Brompton Hospital, London, England, United Kingdom

Accepted for publication June 28, 2000.

Address reprint requests to Dr Goldstraw, Royal Brompton Hospital, Sydney St, SW3 6NP, London, UK
e-mail: pgoldstraw{at}rbh.nthames.nhs.uk

Pleuropulmonary blastomas (PPB) are rare intrathoracic tumors that can develop in children with preexisting pulmonary cystic lesions, inferring that the prophylactic resection of such cysts might prevent the onset of these malignant tumors. We report a patient who went on to develop PPB in the right lung despite having had resections for bilateral congenital pulmonary cysts 23 months earlier. We therefore question the effectiveness of prophylactic resection of congenital lung cysts on this basis.




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