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A review of congenital lung malformations with a simplified classification system for clinical and research use.

Abstract：

PURPOSE:Congenital lung abnormalities are rare malformations increasingly detected early by prenatal ultrasound. Whether management of these frequently asymptomatic lesions should be surgical or conservative is an unresolved issue. The necessary prospective studies are limited by the absence of a widely accepted practical classification system. Our aim was to develop a simple, clinically relevant system for classifying and studying congenital lung abnormalities. MATERIALS AND METHODS:We based our proposed grouping on a detailed analysis of clinical, radiological, and histological data from well-documented cases, plus an extensive review of the literature. RESULTS:The existence of hybrid lesions and common histological findings suggested a unified embryological mechanism-possibly obstruction of developing airways with distal dysplasia. Malformations could be classified by their anatomical and pathological findings; however, a system based on the prenatal ultrasound plus initial chest X-ray findings had greater clinical relevance: Group 1-Congenital solid/cystic lung malformation, Group 2-Congenital hyperlucent lobe, Group 3-Congenital small lung. CONCLUSIONS:Pathological classification is academically important but is unnecessarily complex for clinical and research use. Our simple radiological-based system allows unambiguous comparison between the results of different studies and also guides the choice of necessary investigations specific to each group.

journal_name

Pediatr Surg Int

journal_title

Pediatric surgery international

authors

Seear M,Townsend J,Hoepker A,Jamieson D,McFadden D,Daigneault P,Glomb W

doi

10.1007/s00383-017-4062-y

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

657-664

issue

6

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-017-4062-y

journal_volume

33

pub_type

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