Horio H, Teramoto S, Suzuki Y, Tanaka N, Nakamura H, Mori T
Second Department of Surgery, Tottori University, Faculty of Medicine, Japan.
Kyobu Geka. 1995 Aug;48(9):805-7.
The patient was newborn infant with severe respiratory failure. The left upper lobe of her lung was occupied by multiple small cysts and it was getting worse in her condition soon after birth. So left upper lobectomy was underwent urgently four days later. Then she was recovering her strength. Pathological examination of resected specimen revealed congenital cystic adenomatoid malformation (CCAM) of the lung (type II lesion of Stocker's classification). It is reported that about seventy percent of CCAM present between birth and one month of age. Its prognosis is poor without operation. The lesion is showed by Chest-abdominal X-ray and ultrasonography, and recognized to best advantage by computed tomography. Neonatal CCAM must be rapidly diagnosed and decided its indication of lobectomy, then its prognosis may be improved.
该患者为患有严重呼吸衰竭的新生儿。其左肺上叶被多个小囊肿占据，出生后不久病情就恶化了。因此，四天后紧急进行了左肺上叶切除术。随后她的体力开始恢复。切除标本的病理检查显示为先天性肺囊性腺瘤样畸形（CCAM，斯托克分类中的II型病变）。据报道，约70%的CCAM在出生至1个月之间出现。未经手术其预后较差。该病变通过胸腹X线和超声检查显示，而计算机断层扫描能最清晰地识别。新生儿CCAM必须迅速诊断并确定肺叶切除术的指征，这样其预后可能会得到改善。
