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KMID : 0357920080420060396
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Korean Journal of Pathology
2008 Volume.42 No. 6 p.396 ~ p.400
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Adenocarcinoma Arising in Type 1 Congenital Cystic Adenomatoid Malformation: A Case Report and Review of the Literature
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Yoo Jin-Young
Lee Sun-Mi
Jung Ji-Han
Ahn Myeong-Im
Cho Deog-Gon
Kang Seok-Jin
Lee Kyo-Young
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Abstract
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Malignancies in congenital cystic adenomatoid malformations (CCAMs) of the lung are rare. We report a 41-year-old male patient with a pulmonary cystic lesion suspicious for CCAM, unrecognized until the patient was 40 years of age, and which subsequently became more consolidated during the interval between initial presentation and surgery. Microscopic examination of the resected specimen revealed features of type 1 CCAM with a mucinous adenocarcinoma, metastatic to the mediastinal lymph nodes. This case illustrates the importance of prompt surgical resection for all suspected CCAMs, especially those discovered in adulthood.
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KEYWORD
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Congenital cystic adenomatoid malformation, Adenocarcinoma
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