Case Report
Video-Assisted Thoracoscopic Surgery in 3 Cases of Adult Cystic Adenomatoid Malformation
M. Congregadoa, J. Loscertalesa,
, J.C. Girón-Arjonaa, R. Jim énez-Merchána, A. Arroyo-Tristána, R. González Cámporab
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jloscert@us.es
Correspondence: Prof. Dr. J Loscertales. Servicio de Cirugía General y Torácica. Hospital Universitario Virgen Macarena. Avda. Dr. Fedriani, s/n. 41071 Sevilla. España
Correspondence: Prof. Dr. J Loscertales. Servicio de Cirugía General y Torácica. Hospital Universitario Virgen Macarena. Avda. Dr. Fedriani, s/n. 41071 Sevilla. España
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González Cámpora" "autores" => array:6 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Congregado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 1 => array:5 [ "preGrado" => "Prof., Dr" "nombre" => "J." "apellidos" => "Loscertales" "email" => array:1 [ 0 => "jloscert@us.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 2 => array:3 [ "nombre" => "J.C." "apellidos" => "Girón-Arjona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "R." "apellidos" => "Jim énez-Merchán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Arroyo-Tristán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "R." "apellidos" => "González Cámpora" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y Torácica, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Virgen Macarena, Sevilla, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Prof. Dr. J Loscertales. Servicio de Cirugía General y Torácica. Hospital Universitario Virgen Macarena. Avda. Dr. Fedriani, s/n. 41071 Sevilla. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-06-17" "fechaAceptado" => "2003-10-14" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec153416" "palabras" => array:2 [ 0 => "Congenital cystic adenomatoid malformation" 1 => "Video-assisted thoracoscopic surgery" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153415" "palabras" => array:2 [ 0 => "Malformación adenomatoidea quística congénita" 1 => "Cirugía videotoracoscópica" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Congenital cystic adenomatoid malformation involving the lung is a rare hamartomatous condition that is usually diagnosed in the neonatal period. The presentation of this malformation in older patients is exceptional and usually manifests in a series of recurrent lung infections affecting a single lobe or segment. The treatment of choice is complete surgical exeresis.</p><p class="elsevierStyleSimplePara elsevierViewall">This report of 3 cases of late presentation focuses on the surgical approach used and the unusual manifestation of recurrent spontaneous pneumothoraces in 1 patient. The patients were females aged 15, 16, and 25 years with histories of various respiratory diseases (extrinsic asthma, recurrent pneumonias, and pneumothoraces). The patients were referred to us for surgery with suspected diagnoses that were different from the final diagnoses in all cases. All underwent diagnostic video-assisted thoracoscopy to explore the affected hemothorax, and definitive treatment was possible during the procedure for 2 patients (a lobectomy and an atypical segmentectomy) by video-assisted surgery. The third patient underwent lobectomy by lateral thoracotomy after exploratory video-assisted thoracoscopy. Short- and long-term outcomes were excellent for all 3 patients.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La malformación adenomatoidea quística congénita del pulmón es una entidad hamartomatosa de carácter congénito y poco frecuente que suele diagnosticarse en el período neonatal. Su presencia en etapas más adultas es excepcional y se manifiesta, generalmente, como un cuadro de infecciones pulmonares de repetición que afectan a un solo lóbulo o seg-mento. El tratamiento de elección es la exéresis quirúrgica.</p><p class="elsevierStyleSimplePara elsevierViewall">Se presentan 3 casos en los que se destacan la edad tardía de presentación, la rara forma de manifestarse uno de ellos (neumotórax espontáneo recidivante) y el abordaje quirúr-gico utilizado para su resolución. Se trataba de 3 mujeres de 15, 16 y 25 años, con antecedentes de enfermedad pulmonar diversa (asma extrínseca, infecciones pulmonares de repetición y neumotórax recidivantes), que tras ser estudiadas en los servicios correspondientes (en ninguno se sospechó el diagnóstico final) nos fueron remitidas para tratamiento quirúrgico. A las 3 pacientes se les practicó un abordaje vi-deotoracoscópico para el diagnóstico y la exploración del he-mitórax correspondiente (videotoracoscopia exploradora) que permitió, además, el tratamiento definitivo en 2 de ellas (una lobectomía y una segmentectomía atípica) mediante cirugía videoasistida; a la tercera se le realizó una lobectomía por toracotomía lateral tras la videotoracoscopia exploradora. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 1 | 4 |
| 2024 October | 25 | 13 | 38 |
| 2024 September | 31 | 15 | 46 |
| 2024 August | 40 | 33 | 73 |
| 2024 July | 24 | 20 | 44 |
| 2024 June | 30 | 17 | 47 |
| 2024 May | 23 | 20 | 43 |
| 2024 April | 15 | 32 | 47 |
| 2024 March | 21 | 11 | 32 |
| 2024 February | 19 | 19 | 38 |
| 2023 March | 1 | 4 | 5 |
| 2023 February | 14 | 16 | 30 |
| 2023 January | 12 | 26 | 38 |
| 2022 December | 15 | 16 | 31 |
| 2022 November | 12 | 17 | 29 |
| 2022 October | 15 | 23 | 38 |
| 2022 September | 13 | 12 | 25 |
| 2022 August | 23 | 37 | 60 |
| 2022 July | 12 | 30 | 42 |
| 2022 June | 16 | 24 | 40 |
| 2022 May | 14 | 27 | 41 |
| 2022 April | 14 | 20 | 34 |
| 2022 March | 17 | 29 | 46 |
| 2022 February | 13 | 21 | 34 |
| 2022 January | 13 | 30 | 43 |
| 2021 December | 13 | 41 | 54 |
| 2021 November | 11 | 31 | 42 |
| 2021 October | 20 | 46 | 66 |
| 2021 September | 17 | 46 | 63 |
| 2021 August | 10 | 28 | 38 |
| 2021 July | 16 | 27 | 43 |
| 2021 June | 14 | 24 | 38 |
| 2021 May | 12 | 24 | 36 |
| 2021 April | 37 | 39 | 76 |
| 2021 March | 17 | 17 | 34 |
| 2021 February | 13 | 14 | 27 |
| 2021 January | 7 | 9 | 16 |
| 2020 December | 7 | 15 | 22 |
| 2020 November | 6 | 5 | 11 |
| 2020 October | 6 | 2 | 8 |
| 2020 September | 4 | 6 | 10 |
| 2020 August | 6 | 5 | 11 |
| 2020 July | 12 | 10 | 22 |
| 2020 June | 7 | 1 | 8 |
| 2020 May | 9 | 14 | 23 |
| 2020 April | 12 | 10 | 22 |
| 2020 March | 8 | 9 | 17 |
| 2020 February | 13 | 18 | 31 |
| 2020 January | 16 | 10 | 26 |
| 2019 December | 11 | 9 | 20 |
| 2019 November | 6 | 13 | 19 |
| 2019 October | 6 | 8 | 14 |
| 2019 September | 13 | 9 | 22 |
| 2019 August | 9 | 11 | 20 |
| 2019 July | 41 | 16 | 57 |
| 2019 June | 63 | 8 | 71 |
| 2019 May | 29 | 6 | 35 |
| 2019 April | 9 | 10 | 19 |
| 2019 March | 6 | 7 | 13 |
| 2019 February | 8 | 13 | 21 |
| 2019 January | 5 | 7 | 12 |
| 2018 December | 4 | 7 | 11 |
| 2018 November | 27 | 3 | 30 |
| 2018 October | 18 | 10 | 28 |
| 2018 September | 8 | 9 | 17 |
| 2018 May | 2 | 0 | 2 |
| 2018 April | 4 | 4 | 8 |
| 2018 March | 8 | 1 | 9 |
| 2018 February | 3 | 8 | 11 |
| 2018 January | 3 | 4 | 7 |
| 2017 December | 3 | 9 | 12 |
| 2017 November | 3 | 3 | 6 |
| 2017 October | 6 | 6 | 12 |
| 2017 September | 7 | 7 | 14 |
| 2017 August | 6 | 7 | 13 |
| 2017 July | 4 | 5 | 9 |
| 2017 June | 7 | 12 | 19 |
| 2017 May | 6 | 7 | 13 |
| 2017 April | 3 | 5 | 8 |
| 2017 March | 1 | 4 | 5 |
| 2017 February | 0 | 1 | 1 |
| 2017 January | 2 | 4 | 6 |
| 2016 December | 8 | 7 | 15 |
| 2016 November | 16 | 8 | 24 |
| 2016 October | 18 | 10 | 28 |
| 2016 September | 15 | 5 | 20 |
| 2016 August | 12 | 5 | 17 |
| 2016 July | 9 | 4 | 13 |
| 2016 March | 2 | 0 | 2 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 35 | 1 | 36 |
| 2015 September | 56 | 15 | 71 |
| 2015 August | 38 | 12 | 50 |
| 2015 July | 48 | 7 | 55 |
| 2015 June | 37 | 7 | 44 |
| 2015 May | 40 | 24 | 64 |
| 2015 April | 35 | 14 | 49 |
| 2015 March | 38 | 13 | 51 |
| 2015 February | 25 | 6 | 31 |
| 2015 January | 18 | 11 | 29 |
| 2014 December | 27 | 7 | 34 |
| 2014 November | 31 | 10 | 41 |
| 2014 October | 52 | 9 | 61 |
| 2014 September | 44 | 12 | 56 |
| 2014 August | 44 | 11 | 55 |
| 2014 July | 37 | 9 | 46 |
| 2014 June | 61 | 10 | 71 |
| 2014 May | 43 | 7 | 50 |
| 2014 April | 54 | 7 | 61 |
| 2014 March | 56 | 12 | 68 |
| 2014 February | 53 | 8 | 61 |
| 2014 January | 34 | 10 | 44 |
| 2013 December | 47 | 7 | 54 |
| 2013 November | 30 | 7 | 37 |
| 2013 October | 33 | 6 | 39 |
| 2013 September | 35 | 6 | 41 |
| 2013 August | 34 | 7 | 41 |
| 2013 July | 52 | 24 | 76 |
| 2013 June | 33 | 13 | 46 |
| 2013 May | 45 | 8 | 53 |
| 2013 April | 16 | 3 | 19 |
| 2013 March | 6 | 1 | 7 |
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