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Imaging characteristics and the accuracy of computered tomography in predictability of congenital pulmonary airway malformation
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Abstract
SUMMARY
Perpose: To describe imaging characteristics and to analyse the value of CT-scanner in treatment of congenital pulmonary
airway malformation (CPAM).
Material and Methods: Retrospective imaging description of chest CT-scanner was done on 61 children patients suspected
of CPAM on clinical examination in national chidren Hospital from January 2011 to June 2014. in which 33 cases were diagnosed of CPAM on histopathology. The value of CT-scanner were analysed
in diagnosed of CPAM.
Results: CPAM is common in right lower lobe. It contains one or multicytic mas (≥ 5 cysts) with cystic wall ≤ 2.5 mm, no private
feeding artery. There are statitistically significant different between diameter of largest cysts in each other típ. CPAM is an air cytic (45.6%), air-fluid level cystic (9.1%), fluid cystic mass (27.2%) or complex mass (18.1%). The sensitivity of CT in diagnosis CPAM is 100%, specificity is 75%, and accuracy is 88.5%.
Conclusions: CPAM demonstrates a variety of CT appearances based on the type of CPAM. CT has high accuracy in diagnosis CPAM.
Article Details
Keywords
Congenital pulmonary airway malformation (CPAM, computered tomography (CT)
References
1. Priest, J.R., et al.( 2009). Pulmonary cysts in early childhood and the risk of malignancy. Pediatr
Pulmonol,. 44(1): p. 14-30.
2. Ch’In, K.Y. and M.Y. Tang. (1949). Congenital adenomatoid malformation of one lobe of a lung with general anasarca. Arch Pathol (Chic). 48(3): p. 9-221.
3. Phạm Thanh Xuân. (2001). Nghiên cứu biểu hiện lâm sàng cận lâm sàng nang phổi bẩm sinh trẻ em tại viện Nhi 1992-2001. Luận Văn Bác Sĩ Chuyên Khoa II.
4. Wong, A., et al. (2009). Long-term outcome of asymptomatic patients with congenital cystic adenomatoid
malformation. Pediatr Surg Int. 25(6): p. 85-479.
5. MacSweeney, F., et al.( 2003). An assessment of the expanded classification of congenital cystic adenomatoid malformations and their relationship to malignant transformation. Am J Surg Pathol. 27(8): p. 46-1139.
6. Ramos, S.G., et al. (2007). Bronchioloalveolar carcinoma arising in a congenital pulmonary airway malformation in a child: case report with an update of this association. J Pediatr Surg. 42(5): p. 1-4.
7. Mata, J.M., et al. (1990). CT of congenital malformations of the lung. Radiographics. 10(4): p. 74-651.
8. Kim, W.S., et al. (1997). Congenital cystic adenomatoid malformation of the lung: CT-pathologic correlation. AJR Am J Roentgenol. 168(1): p. 47-53.
9. Oh, B.J., et al. (2006). Congenital cystic adenomatoid malformation of the lung in adults: clinical and CT evaluation of seven patients. Respirology. 11(4): p. 496-501.
10. Patz, E.F., Jr., et al. (1995). Congenital cystic adenomatoid malformation in adults: CT findings. J Comput Assist Tomogr. 19(3): p. 4-361.
11. Lanza, C., et al. (2007). Cystic adenomatoid malformation in children: CT histopathological correlation. Radiol Med. 112(4): p. 9-612.
12. Shimohira, M., et al. (2007). Congenital pulmonary airway malformation: CT-pathologic correlation. J Thorac Imaging. 22(2): p. 53-149.
13. Griffin, N., et al. (2008). CT and histopathological correlation of congenital cystic pulmonary lesions: a common pathogenesis? Clin Radiol. 63(9): p. 995-1005.
14. Stocker, J.T. (2009). Cystic lung disease in infants and children. Fetal Pediatr Pathol. 28(4): p. 84-155.
15. Hansell, D.M., et al. (2008). Fleischner Society: glossary of terms for thoracic imaging. Radiology,. 246(3): p. 697-722.