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Updated: May 21, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Congenital lung lesions.
Pramod S Puligandla1, Jean-Martin Laberge
1Pediatric Surgery, Montreal Children's Hospital, McGill University Health Center, McGill University, 2300 Tupper Street, Suite C-811, Montreal, Quebec H3P 1P3, Canada.
Diagnosis and management of congenital lung lesions remain complex. This review clarifies classifications, treatment options, and surgical outcomes for these rare conditions.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Neonatal Medicine
Background:
- Congenital lung lesions present diagnostic and management challenges prenatally and postnatally.
- Existing classifications for these lesions are varied, including congenital cystic adenomatoid malformation/congenital pulmonary airway malformation and sequestrations.
- Uncertainty exists regarding malignant transformation risks, such as with pleuropulmonary blastoma.
Purpose of the Study:
- To review current diagnostic and treatment strategies for fetal congenital lung lesions.
- To clarify classifications and discuss variants and hybrid lesions.
- To evaluate arguments for and against resection of asymptomatic lesions, timing, and long-term pulmonary function.
Main Methods:
- Literature review of current diagnostic and treatment modalities.
Main Results:
- The review synthesizes information on fetal diagnosis and treatment of congenital lung lesions.
- It addresses classification complexities, including congenital cystic adenomatoid malformation/congenital pulmonary airway malformation and sequestrations.
- The review discusses risks like malignant transformation and evaluates surgical resection outcomes.
Conclusions:
- Congenital lung lesions require careful diagnosis and management, with ongoing debate on optimal treatment strategies.
- Understanding lesion classification and potential risks is crucial for patient care.
- Evidence supports thoracoscopic resection for certain congenital lung lesions, with considerations for long-term pulmonary function.

