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Ann Thorac Surg 2007;83:687-689
© 2007 The Society of Thoracic Surgeons


Case Reports

Bronchioloalveolar Carcinoma in Congenital Cystic Adenomatoid Malformation of Lung

Douglas West, MRCSa,*, Andrew G. Nicholson, FRCPathb, Ian Colquhoun, FRCSc, James Pollock, FRCSa,c

a Department of Cardiothoracic Surgery, The Royal Hospital for Sick Children, Dalnair Street, Glasgow
b Department of Histopathology, The Royal Brompton Hospital, London
c Department of Cardiothoracic Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom

Accepted for publication June 5, 2006.

* Address correspondence to Mr West, The Royal Hospital for Sick Children, Dalnair St, Glasgow G3 8SJ, UK. (Email: dgwest{at}rcsed.ac.uk).

Congenital cystic adenomatoid malformation (CCAM) of lung is a rare condition with the potential for malignant transformation. We report a patient who underwent lobectomy for a cystic lung lesion, which was found to be a type 1 CCAM associated with a mucinous bronchioloalveolar carcinoma. Retrospective review of a biopsy specimen from the same lobe excised during an ipsilateral empyema drainage 11 years previously showed similar foci of bronchioloalveolar carcinoma. The patient remains well 3 years after surgery. This case demonstrates the indolent nature of malignancies seen in association with type 1 CCAMs and also that complete excision, probably by lobectomy, is the treatment of choice to avoid recurrence.




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Ann. Thorac. Surg.Home page
H. K. Kim, Y. S. Choi, K. Kim, Y. M. Shim, G. W. Ku, K.-M. Ahn, S. I. Lee, and J. Kim
Treatment of congenital cystic adenomatoid malformation: should lobectomy always be performed?
Ann. Thorac. Surg., July 1, 2008; 86(1): 249 - 253.
[Abstract] [Full Text] [PDF]




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