Benouaich Vincent, Marcheix Bertrand, Begueret Hugues, Brouchet Laurent, Velly Jean François, Jougon Jacques
Department of Thoracic Surgery, Haut-Lévèque Hospital, Bordeaux University Hospital, 33604 Pessac, France.
Asian Cardiovasc Thorac Ann. 2009 Dec;17(6):634-6. doi: 10.1177/0218492309349810.
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.
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。