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Published on: February 28, 2025
Congenital cystic adenomatoid malformation in an adult presenting as lung abscess
J Dahabreh1, C Zisis, M Vassiliou
1Thoracic Surgery Department, Saint Savas Anticancer Hospital, Athens, Greece. dkakats@cc.uoa.gr
Insights
Congenital cystic adenomatoid malformation (CCAM) in a 21-year-old male presented with recurrent lung infections. Surgical removal (right lower lobectomy) addressed a large mass, discussing the tumor's characteristics and prognosis.
Area of Science:
- Pediatric Surgery
- Thoracic Oncology
- Pulmonology
Background:
- Congenital cystic adenomatoid malformation (CCAM) is a rare congenital lung malformation.
- Early-onset recurrent pulmonary infections can indicate underlying congenital lung disease.
Observation:
- A 21-year-old male presented with a history of recurrent infant pulmonary infections.
- A significant mass infiltrating the right lower lobe was identified, suspected as a lung abscess.
Findings:
- Right lower lobectomy was performed to resect the mass.
- The case facilitates discussion on CCAM's clinical features, diagnostics, pathology, and treatment.
Implications:
- This case highlights the importance of considering CCAM in infants with recurrent respiratory issues.
- Understanding CCAM's etiopathology and prognosis is crucial for effective patient management.
Abstract:
The case of a 21-year-old male with congenital cystic adenomatoid malformation is presented. His medical history started after his birth with recurrent pulmonary infections during his infancy. Lung abscess of the right lower lobe was suspected and right lower lobectomy was performed to remove a sizeable mass infiltrating the largest part of the lobe. The clinical features, diagnostic procedures, differential diagnosis, pathologic characteristics, therapeutic assessment, etiopathology and prognosis of the tumor are discussed.
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