Congenital Lung Lesions

  • Bill Chiu
  • Alan W. Flake


Congenital lung anomalies include congenital cystic adenomatoid malformation (CCAM), congenital lobar emphysema (CLE), bronchopulmonary sequestration (BPS), and bronchogenic cyst. Lesions may contain a mixture of these elements or communicate with the gastrointestinal tract. Diagnosis is now commonly made by routine prenatal ultrasound and patients are frequently referred to a fetal diagnosis and treatment center before birth. The discovery of these anomalies should be followed by full ultrasonographic evaluation, and, in some cases, fetal MRI to search for coexisting anomalies.


Congenital Diaphragmatic Hernia Bronchogenic Cyst Cystic Teratoma Congenital Cystic Adenomatoid Malformation Mediastinal Shift 
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Suggested Reading

  1. Adzick NS, Flake AW, Crombleholme TM. Management of congenital lung lesions. Semin Pediatr Surg. 2003;12:10–6.CrossRefPubMedGoogle Scholar
  2. Crombleholme TM, Coleman B, Hedrick H, et al. Cystic adenomatoid malformation volume ratio predicts outcome in prenatally diagnosed cystic adenomatoid malformation of the lung. J Pediatr Surg. 2002;37:331–8.CrossRefPubMedGoogle Scholar
  3. Mann S, Wilson RD, Bebbington MW, Adzick NS, Johnson MP. Antenatal diagnosis and management of congenital cystic adenomatoid malformation. Semin Fetal Neonat Med. 2007;12:477–81.CrossRefGoogle Scholar
  4. Tsai AY, Liechty KW, Hedrick HL, et al. Outcomes after postnatal resection of prenatally diagnosed asymptomatic cystic lung lesions. J Pediatr Surg. 2008;43:513–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SurgeryChildren’s Hospital of PhiladelphiaPhiladelphiaUSA

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