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KMID : 0383820120720060501
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Tuberculosis and Respiratory Diseases
2012 Volume.72 No. 6 p.501 ~ p.506
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Congenital Cystic Adenomatoid Malformation with Bronchial Atresia in Elderly Patients
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Kwak Hyun-Jung
Moon Ji-Yong
Kim Sa-Il
Kim Tae-Hyung
Sohn Jang-Won
Kim Sang-Heon
Shin Dong-Ho
Park Sung-Soo
Chung Won-Sang
Yoon Ho-Joo
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Abstract
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Conclusion: Congenital cystic adenomatoid malformation (CCAM) is an uncommon, nonhereditary anomaly caused by arrest of lung. Patients with CCAM may present with respiratory distress as newborns, or may remain asymptomatic until later in life. CCAM type I is rarely found in association with bronchial atresia (BA) in adults; we present such a case. Case: A 54-year-old female presented with chronic cough and blood-tinged sputum. Physical examination and laboratory tests were unremarkable. Chest radiographs and a CT scan of the chest showed multiple large air-filled cysts consistent with a CCAM in the right lower lobe, and an oval-shaped opacity in the distal right middle lobal bronchus. Based on the radiologic findings, right middle lobectomy and a medial basal segmentectomy of the right lower lobe were performed via a thoracotomy. These lesions were consistent with Stocker’s Type I CCAM and BA in the different lobes.
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KEYWORD
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Cystic Adenomatoid Malformation of Lung, Congenital, Aged, Bronchi, Abnormalities
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