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March 1996, Vol 122, No. 3 >
ARTICLE | March 1996

Congenital Cystic Adenomatoid Malformation of the Lung Referred as 'Airway Foreign Body' FREE

Michael R. Macdonald, MD; Vito Forte, MD, FRCSC; Ernest Cutz, MD, FRCPC; William S. Crysdale, MD, FRCSC
Arch Otolaryngol Head Neck Surg. 1996;122(3):333-337. doi:10.1001/archotol.1996.01890150101018
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Congenital cystic adenomatoid malformation of the lung is an uncommon anomaly. Two patients with this condition were recently referred to the Otolaryngology Service at The Hospital for Sick Children, Toronto, Ontario, for bronchoscopic evaluation of the airway to rule out a foreign body. Although history did not disclose a clear episode of aspiration in either case, chest radiographs showed unilateral lobar hyperinflation with mediastinal shift, consistent with foreign body obstruction. We report two cases to introduce congenital cystic adenomatoid malformation to the English otolaryngology literature and to increase awareness of it among otolaryngologists. (Arch Otolaryngol Head Neck Surg. 1996;122:333-337)

REFERENCES

1 +
Becker MR, Schindera F, Maier WA.  Congenital cystic adenomatoid malformation of the lung . Prog Pediatr Surg . 1987;;21:112-117.
2 +
Rodgers BM, Harmen PK, Johnson AM.  Bronchopulmonary foregut malformation . Ann Surg . 1986;;203:517-524.
3 +
Ch'in KY, Tang MY.  Congenital adenomatoid malformation of one lobe of a lung with general anasarca . Arch Pathol Lab Med . 1949;;48:221-229.
4 +
Cloutier MM, Schaeffer DA, Hight D.  Congenital cystic adenomatoid malformation . Chest . 1993;; 103:761-764.
5 +
Heij HA, Ekkelkamp S, Vos A.  Diagnosis of congenital cystic adenomatoid malformation of the lung in newborn infants and children . Thorax . 1990;;45:122-125.
6 +
Bentur L, Canny G, Thorner P, Superina R, Babyn P, Levison H.  Spontaneous pneumothorax in cystic adenomatoid malformation: unusual clinical and histologic features . Chest . 1991;;99:1292-1293.
7 +
Bainbridge TC, Solimano A, Rotschild RA, Sharma AK, Thurlbeck W.  Waxing and waning hyperinflation in congenital cystic adenomatoid malformation of the lung . J Perinatol . 1992;;12:237-239.
8 +
Akiba T, Yamazaki Y, Yasukawa S, Yuno S, Yoshida T, Sakurai K.  A case of congenital cystic adenomatoid malformation of the lung in 18-year-old male . Nippon Kyobu Geka Gakkai Zasshi . 1992;;40:161-164.
9 +
Stocker JT, Madewell JE, Drake RM.  Congenital cystic adenomatoid malformation of the lung: classification and morphologic spectrum . Hum Pathol . 1977;;8:155-171.
10 +
Moerman P, Fryss JP, Vandenberghe K, Devlieter H, Lauweryns JM.  Pathogenesis of congenital cystic adenomatoid malformation of the lung . Histopathology . 1992;;21:315-321.
11 +
Boglino C, Insera A, Serventi P, Ciprandi G, D'Andra D.  Neurotensin localization in adenomatoid cystic malformation vs normal lung: preliminary report of six consecutive cases . J Pediatr Surg . 1992;;27:57-60.
12 +
Lorimier AA.  Congenital malformations and neonatal problems of the respiratory tract . In: Welch KJ, Randolph JG, Ravitch MM, O'Neill JA Jr, Rowe MI, eds. Pediatric Surgery . St Louis, Mo: Mosby–Year Book; 1986;:631-644.
13 +
Boulot P, Pages A, Deschamps F, Hedon B, Laffargue F, Viala JL.  Early prenatal diagnosis of congenital cystic adenomatoid malformation of the lung (Stocker's type I): a case report . Eur J Obstet Gynecol Reprod Biol . 1991;;41:159-162.
14 +
Neilson IR, Russo P, Laberge JM, et al.  Congenital adenomatoid malformation of a lung: current management and prognosis . J Pediatr Surg . 1991;;26:975-980.
15 +
Hatjis CG, Wall P.  Type II congenital cystic adenomatoid malformation of the lung with a mediastinal shift: a case report . J Reprod Med . 1992;; 37:753-756.
16 +
Ueda K, Grouppo R, Unger F, Martin L, Bove K.  Rhabdomyosarcoma of lung arising in congenital cystic adenomatoid malformation . Cancer . 1977;;40:383-387.
17 +
Cairoli G, Bertani S, Giuntoli M, Battisti C.  Cystic adenomatoid malformation of the lung: experience in four operated cases . Pediatr Med Chir . 1990;;12:681-685.
18 +
Murphy JJ, Blair GK, Fraser GC, et al.  Rhabdomyosarcoma arising within congenital pulmonary cysts: report of three cases . J Pediatr Surg . 1992;;27:1364-1367.
19 +
Nugent CE, Hayashi RH, Rubin J.  Prenatal treatment of type 1 congenital cystic adenomatoid malformation by intra uterine fetal thoracentesis . J Clin Ultrasound . 1989;;18:675-677.
20 +
Adzick, NS, Harrison MR, Flake AW, Howell LJ, Golbus MS, Filly, RA.  Fetal surgery for cystic adenomatoid malformation of the lung . J Pediatr Surg . 1993;;28:806-812.
21 +
Kuller JA, Yankowitz J, Goldberg JD, et al.  Outcome of antenatally diagnosed cystic adenomatoid malformations . Am J Obstet Gyncol . 1992;; 167( (pt 1) ):1038-1041.
22 +
Mentzer SJ, Filler RM, Phillips J.  Limited pulmonary resections for congenital cystic adenomatoid malformation of the lung . J Pediatr Surg . 1992;;27:1410-1413.
23 +
Browdie D, Todd D, Agnew R, Rosen W, Beardmore H.  The use of 'non-anatomic' pulmonary resection in infants with extensive adenomatoid malformation of the lung . J Thorac Cardiovasc Surg . 1993;;105:732-736.
24 +
Benjamin DR, Kahill JL.  Bronchoalveolar carcinoma of the lung and congenital cystic adenomatoid malformation . Am J Clin Pathol . 1991;; 95:889-892.
25 +
Frenckner B, Freyschuss U.  Pulmonary function after lobectomy for congenital lobar emphysema and congenital cystic adenomatoid malformation: a follow-up study . Scand J Thorac Cardiovasc Surg . 1982;;16:293-298.

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1 +
Becker MR, Schindera F, Maier WA.  Congenital cystic adenomatoid malformation of the lung . Prog Pediatr Surg . 1987;;21:112-117.
2 +
Rodgers BM, Harmen PK, Johnson AM.  Bronchopulmonary foregut malformation . Ann Surg . 1986;;203:517-524.
3 +
Ch'in KY, Tang MY.  Congenital adenomatoid malformation of one lobe of a lung with general anasarca . Arch Pathol Lab Med . 1949;;48:221-229.
4 +
Cloutier MM, Schaeffer DA, Hight D.  Congenital cystic adenomatoid malformation . Chest . 1993;; 103:761-764.
5 +
Heij HA, Ekkelkamp S, Vos A.  Diagnosis of congenital cystic adenomatoid malformation of the lung in newborn infants and children . Thorax . 1990;;45:122-125.
6 +
Bentur L, Canny G, Thorner P, Superina R, Babyn P, Levison H.  Spontaneous pneumothorax in cystic adenomatoid malformation: unusual clinical and histologic features . Chest . 1991;;99:1292-1293.
7 +
Bainbridge TC, Solimano A, Rotschild RA, Sharma AK, Thurlbeck W.  Waxing and waning hyperinflation in congenital cystic adenomatoid malformation of the lung . J Perinatol . 1992;;12:237-239.
8 +
Akiba T, Yamazaki Y, Yasukawa S, Yuno S, Yoshida T, Sakurai K.  A case of congenital cystic adenomatoid malformation of the lung in 18-year-old male . Nippon Kyobu Geka Gakkai Zasshi . 1992;;40:161-164.
9 +
Stocker JT, Madewell JE, Drake RM.  Congenital cystic adenomatoid malformation of the lung: classification and morphologic spectrum . Hum Pathol . 1977;;8:155-171.
10 +
Moerman P, Fryss JP, Vandenberghe K, Devlieter H, Lauweryns JM.  Pathogenesis of congenital cystic adenomatoid malformation of the lung . Histopathology . 1992;;21:315-321.
11 +
Boglino C, Insera A, Serventi P, Ciprandi G, D'Andra D.  Neurotensin localization in adenomatoid cystic malformation vs normal lung: preliminary report of six consecutive cases . J Pediatr Surg . 1992;;27:57-60.
12 +
Lorimier AA.  Congenital malformations and neonatal problems of the respiratory tract . In: Welch KJ, Randolph JG, Ravitch MM, O'Neill JA Jr, Rowe MI, eds. Pediatric Surgery . St Louis, Mo: Mosby–Year Book; 1986;:631-644.
13 +
Boulot P, Pages A, Deschamps F, Hedon B, Laffargue F, Viala JL.  Early prenatal diagnosis of congenital cystic adenomatoid malformation of the lung (Stocker's type I): a case report . Eur J Obstet Gynecol Reprod Biol . 1991;;41:159-162.
14 +
Neilson IR, Russo P, Laberge JM, et al.  Congenital adenomatoid malformation of a lung: current management and prognosis . J Pediatr Surg . 1991;;26:975-980.
15 +
Hatjis CG, Wall P.  Type II congenital cystic adenomatoid malformation of the lung with a mediastinal shift: a case report . J Reprod Med . 1992;; 37:753-756.
16 +
Ueda K, Grouppo R, Unger F, Martin L, Bove K.  Rhabdomyosarcoma of lung arising in congenital cystic adenomatoid malformation . Cancer . 1977;;40:383-387.
17 +
Cairoli G, Bertani S, Giuntoli M, Battisti C.  Cystic adenomatoid malformation of the lung: experience in four operated cases . Pediatr Med Chir . 1990;;12:681-685.
18 +
Murphy JJ, Blair GK, Fraser GC, et al.  Rhabdomyosarcoma arising within congenital pulmonary cysts: report of three cases . J Pediatr Surg . 1992;;27:1364-1367.
19 +
Nugent CE, Hayashi RH, Rubin J.  Prenatal treatment of type 1 congenital cystic adenomatoid malformation by intra uterine fetal thoracentesis . J Clin Ultrasound . 1989;;18:675-677.
20 +
Adzick, NS, Harrison MR, Flake AW, Howell LJ, Golbus MS, Filly, RA.  Fetal surgery for cystic adenomatoid malformation of the lung . J Pediatr Surg . 1993;;28:806-812.
21 +
Kuller JA, Yankowitz J, Goldberg JD, et al.  Outcome of antenatally diagnosed cystic adenomatoid malformations . Am J Obstet Gyncol . 1992;; 167( (pt 1) ):1038-1041.
22 +
Mentzer SJ, Filler RM, Phillips J.  Limited pulmonary resections for congenital cystic adenomatoid malformation of the lung . J Pediatr Surg . 1992;;27:1410-1413.
23 +
Browdie D, Todd D, Agnew R, Rosen W, Beardmore H.  The use of 'non-anatomic' pulmonary resection in infants with extensive adenomatoid malformation of the lung . J Thorac Cardiovasc Surg . 1993;;105:732-736.
24 +
Benjamin DR, Kahill JL.  Bronchoalveolar carcinoma of the lung and congenital cystic adenomatoid malformation . Am J Clin Pathol . 1991;; 95:889-892.
25 +
Frenckner B, Freyschuss U.  Pulmonary function after lobectomy for congenital lobar emphysema and congenital cystic adenomatoid malformation: a follow-up study . Scand J Thorac Cardiovasc Surg . 1982;;16:293-298.

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