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Vol. 22. Issue 4.
Pages 195-198 (July - August 1986)
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Vol. 22. Issue 4.
Pages 195-198 (July - August 1986)
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Malformacion adenomatoide quistica pulmonar del adulto. Estudio clinico-patologico de un caso
Pulmonary cystic adenomatoid malformation in the adult. Clinicopatholpgical case study
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J.I. Lopez fernandez de villaverde*, M.T. Sotelo rodriguez**, J.L. Martin de nicolas***, J. Toledo gonzalez****
* Residente. Anatomía Patológica. Departamento de Anatomía Patológica y Sección de Cirugía Torácica. Hospital l.° de Octubre. Madrid
** Jefe de Sección. Anatomía Patológica. Hospital l.° de Octubre. Madrid
*** Adjunto. Cirugía Torácica. Hospital l.° de Octubre. Madrid
**** Jefe de Sección. Cirugía Torácica. Hospital l.° de Octubre. Madrid
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La malformación adenomatoide quística pulmonar (MAQP) es una lesión congénita propia del período neonatal. La presentación en la edad adulta es excepcional y clínicamente se manifiesta en forma de procesos infecciosos de repetición. Radiológicamente se objetiva una cavidad quística que ocasionalmente presenta nivel hidroaéreo. A nivel morfológico, la presencia de infección sobreañadida y la delimitación de la lesión a un sólo segmento pulmonar representan las características diferenciales más notables respecto de la forma neonatal, en la que puede llegar a afectarse todo un pulmón y el infiltrado inflamatorio está ausente.El tratamiento de elección es la extirpación quirúrgica de la lesión con resultados altamente satisfactorios.

Pulmonary cystic adenomatoid malformation (PCAM) is a congenital lesion found in the newborn. Its finding in an adult patient is exceptional and clinical manifestations include repeated infectious processes. Radiologically a cystic cavity is seen which on occasion may be at hydroareal level. Morphologically, superinfection and the lesion being limited to a single segment of the lung are the most marked differential characteristic from the neonatal form, in which the complete lung may be involved and there is no inflammatory infiltrate. Surgical extirpation of the lesion is the treatment of choice and offers highly satisfactory results.

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Copyright © 1986. Sociedad Española de Neumología y Cirugía Torácica
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