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Bronchopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings
Murat Kocaoğlu1, Donald P Frush, Mehmet S Uğurel
1Department of Radiology, Gülhane Military Medical School, Ankara, Turkey. kocaoglumurat@yahoo.com
Insights
Bronchopulmonary foregut malformations are complex congenital abnormalities. Imaging is crucial for diagnosing these masses, guiding management, and preventing complications like infection or respiratory issues.
Area of Science:
- Pediatric Radiology
- Thoracic Surgery
- Congenital Abnormalities
Background:
- Bronchopulmonary foregut malformations (BPFMs) represent a spectrum of interrelated congenital abnormalities.
- These malformations can exhibit diverse histologic features and present as congenital masses.
Purpose of the Study:
- To highlight the importance of recognizing the presentation and imaging features of BPFMs.
- To emphasize the central role of imaging in evaluating these lesions due to nonspecific clinical symptoms.
Main Methods:
- Review of clinical and imaging findings associated with BPFMs.
- Correlation of imaging characteristics with histologic features and clinical outcomes.
Main Results:
- BPFMs can manifest as congenital mass or mass-like lesions.
- Imaging is essential for lesion characterization when clinical presentation is nonspecific.
Conclusions:
- Familiarity with BPFM imaging is vital for appropriate diagnosis and management.
- Effective imaging facilitates timely intervention, preventing complications such as infection, respiratory compromise, and rare instances of malignancy.
Abstract:
Bronchopulmonary foregut malformations are a heterogeneous but interrelated group of abnormalities that may contain more than one histologic feature. Familiarity with the presentation and imaging features of bronchopulmonary foregut malformations presenting as a congenital mass or mass-like lesion is important. Moreover, imaging plays a central role in the evaluation of these lesions since, when symptomatic, clinical features are usually nonspecific. With imaging, the presence of and features of the lesion can be determined, facilitating appropriate management to prevent the potential complications including infection, respiratory compromise and, very rarely, malignancy.
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