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Placental transmogrification of the lung: Case report and systematic review of the literature.

Abstract Placental transmogrification of the lung (PTL) is rare cystic lesion. Thus, we summarized the characteristics of PTL to explore the strategy of diagnosis and treatment.
PMID
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Placental transmogrification of the lung.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28858088
OWN - NLM
STAT- MEDLINE
DA  - 20170831
DCOM- 20170911
LR  - 20170912
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 35
DP  - 2017 Sep
TI  - Placental transmogrification of the lung: Case report and systematic review of
      the literature.
PG  - e7733
LID - 10.1097/MD.0000000000007733 [doi]
AB  - OBJECTIVE: Placental transmogrification of the lung (PTL) is rare cystic lesion. 
      Thus, we summarized the characteristics of PTL to explore the strategy of
      diagnosis and treatment. METHODS: Two patients pathologically confirmed PTL were 
      treated in our hospital. Retrospectively analysis was performed on such 2 cases
      and 34 cases of PTL reported in abroad. The basic information and clinical
      characteristics from each patient were gathered and analyzed. RESULTS: The
      imaging findings of 2 patients were the pulmonary solid mass with peripheral
      multiple pulmonary bullae. After the improvement of preoperative examination and 
      the multidisciplinary discussion of thoracic surgery, respiration, imaging, and
      anesthesia, the possibility of benign pulmonary lesions was improved in all
      cases. Thoracoscopic lobectomy was carried out under general anesthesia, and the 
      intraoperative frozen pathology showed bullae of lung. Ultimately, PTL was
      confirmed by paraffin pathological diagnosis. Both 2 PTL patients had satisfied
      recovery without obvious complications or imaging abnormalities. In addition, the
      literature review of 34 PTL cases from PubMed database was summarized between
      1995 and 2015. A total of 36 patients were retrospectively analyzed in our study.
      The age of 34 cases ranged from 24 to 72 years (an average age of 45.6 +/- 13.5
      years). Among these, 8 cases were no obvious symptoms. In addition, the other 25 
      cases had respiratory symptoms such as chest tightness, cough, and chest pain.
      Moreover, the mean size of pulmonary bulla was 6.5 +/- 5.5 cm. The size of the
      solid lesions in 23 cases was 3.3 +/- 3.4 cm (ranging from 0.5 to 15). The
      follow-up period was 2 to 96 months (average 27.3 +/- 29.8 months). CONCLUSION:
      Early diagnosis and surgical operation of PTL should be performed as soon as
      possible. These lesions are best treated by minimally invasive surgery, so as to 
      preserve more normal lung tissue and avoid the pneumonectomy.
FAU - Ma, Dong-Jie
AU  - Ma DJ
AD  - aDepartment of Thoracic Surgery bDepartment of Pathology, Peking Union Medical
      College Hospital, Beijing, China.
FAU - Liu, Hong-Sheng
AU  - Liu HS
FAU - Li, Shan-Qing
AU  - Li SQ
FAU - Zhou, Xiao-Yun
AU  - Zhou XY
FAU - Cui, Yu-Shang
AU  - Cui YS
FAU - Wu, Huan-Wen
AU  - Wu HW
FAU - Zhou, Wei-Xun
AU  - Zhou WX
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Lung Diseases/*diagnosis/diagnostic imaging/surgery
MH  - Male
MH  - Middle Aged
MH  - Pneumonectomy
MH  - Tomography, X-Ray Computed
PMC - PMC5585482
EDAT- 2017/09/01 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/09/01 06:00
AID - 10.1097/MD.0000000000007733 [doi]
AID - 00005792-201709010-00012 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Sep;96(35):e7733. doi: 10.1097/MD.0000000000007733.