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老年先天性肺囊性腺瘤样畸形恶变

Malignancy of congenital cystic adenomatoid malformation of lung in aged.

作者信息

Benouaich Vincent, Marcheix Bertrand, Begueret Hugues, Brouchet Laurent, Velly Jean François, Jougon Jacques

机构信息

Department of Thoracic Surgery, Haut-Lévèque Hospital, Bordeaux University Hospital, 33604 Pessac, France.

出版信息

Asian Cardiovasc Thorac Ann. 2009 Dec;17(6):634-6. doi: 10.1177/0218492309349810.

Abstract

Congenital cystic adenomatoid malformation is rare in adults, and often asymptomatic. We describe a case of malignant degeneration of a congenital cystic adenomatoid malformation in a 77-year-old man. Congenital cystic adenomatoid malformation must be considered a premalignant lesion, even in older patients. Rigorous preoperative staging must be undertaken. Anatomic resection with extensive lymphadenectomy remains the treatment of choice.

摘要

先天性囊性腺瘤样畸形在成人中罕见,且通常无症状。我们描述了一例77岁男性先天性囊性腺瘤样畸形发生恶性变的病例。即使在老年患者中,先天性囊性腺瘤样畸形也必须被视为癌前病变。必须进行严格的术前分期。解剖性切除并广泛清扫淋巴结仍是首选的治疗方法。

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