Congenital Pulmonary Airway Malformation Associated With Papillary Adenocarcinoma

oleh: Courtney Breckenfelder, BS, Catherine C. Dawson-Gore, MD, MS, Csaba Galambos, MD, PhD, Kristine S. Corkum, MD, David Partrick, MD, S. Christopher Derderian, MD

Format: Article
Diterbitkan: Elsevier 2024-09-01

Deskripsi

Congenital pulmonary airway malformations (CPAMs) are cystic lung lesions often detected prenatally. Resection is often recommended for potential recurrent infections and malignancy. This report describes a case of a 14-year-old female patient who presented with abdominal pain. A computed tomographic scan of the abdomen revealed a cystic lesion at the base of her right lung. Consequently, a computed tomographic arteriogram of the chest demonstrated a right lower lobe lesion concerning for type I CPAM. After thoracoscopic segmentectomy, histopathologic examination revealed papillary adenocarcinoma with a KRAS mutation. Residual CPAM prompted a lobectomy, emphasizing the importance of surgical intervention for cystic lesions.