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Updated: Aug 15, 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
[Retention cysts of the lungs in children]
Insights
Lung retention cysts in children are often located in the superior lobe and require differentiation from tuberculosis. Surgical intervention, frequently segmentectomy, is the standard treatment for these lung cysts.
Area of Science:
- Pediatric Surgery
- Pulmonology
- Thoracic Medicine
Background:
- Retention cysts of the lungs present a diagnostic challenge in pediatric patients.
- Differentiating these cysts from other pulmonary conditions, such as tuberculosis, is crucial for appropriate management.
- A significant number of children received prolonged, ineffective therapy prior to surgical consultation.
Purpose of the Study:
- To analyze the clinical presentation, diagnosis, and surgical management of retention cysts in a pediatric cohort.
- To highlight the diagnostic difficulties and the importance of imaging in identifying lung retention cysts.
- To evaluate the surgical outcomes and preferred operative techniques for pediatric lung cysts.
Main Methods:
- Retrospective review of 34 pediatric patients with lung retention cysts.
- Detailed analysis of medical history, radiographic, and tomographic findings.
- Surgical procedures and their indications based on cyst characteristics and surrounding tissue condition.
Main Results:
- The most common cyst localization was the anterior segment of the superior lobe (20 cases).
- Central localization is characteristic of these retention cysts.
- Two cases involved suppurating cysts, and 16 children had received prior specific therapy.
- Segmentectomy was the most frequently performed surgical procedure, with its extent tailored to surrounding tissue status.
Conclusions:
- Retention cysts of the lungs in children necessitate careful diagnostic evaluation, including advanced imaging.
- Distinguishing lung cysts from tuberculosis is critical and can be challenging.
- Surgical management, often involving segmentectomy, is effective for pediatric lung retention cysts.
Abstract:
The authors has 34 children with retention cysts of the lungs under observation. The most frequent localization of the cyst is the anterior segment of the superior lobe (20), central localization is characteristic of retention cysts. The disease must be differentiated first of all from tuberculosis. Not in all cases is this an easy problem. Before admission to the surgical clinic 16 children were given specific therapy for a long time. Two children had a suppurating cyst. The diagnosis of the cyst is based on careful study of the medical history and the characteristic findings of radiography and tomography of the chest. All of the children were operated on. The volume of the operation was determined by the condition of the surrounding segments. Segmentectomy was the most frequently performed operation.
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