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Carcinoma bronquíolo-alveolar associado a malformação congénita das vias aéreas pulmonares em adolescente assintomático
Bronchioloalveolar carcinoma associated with congenital pulmonary airway malformation in an asymptomatic adolescent
Francisco Abecasis1,7,9, Maria Gomes Ferreira2,7,9, Ana Oliveira3,7,9, Henrique Vaz Velho4,7,9, Ana Jorge5,7,9, Maria José Brito6,7,9, José Roquette8,9
1 Interno do Internato Complementar de Pediatria, Hospital Garcia de Orta, Almada
2 Assistente Hospitalar Graduada de Pediatria, Hospital Garcia de Orta, Almada
3 Assistente Hospitalar Graduada de Anatomia Patológica do Hospital Garcia de Orta, Almada
4 Chefe do Serviço de Cirurgia Cardiotorácica do Hospital de Santa Marta
5 Serviço de Pediatria
6 Serviço de Anatomia Patológica
7 Hospital Garcia de Orta, Avenida Torrado da Silva, 2805-267 Almada, Portugal
8 Serviço de Cirurgia Cardiotorácica
9 Hospital de Santa Maria, Rua de Santa Maria, 50, 1169-024 Lisboa, Portugal
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A malforma&#231;&#227;o cong&#233;nita das vias a&#233;reas pulmonares &#40;CPAM&#41; &#233; uma entidade rara com potencial de transforma&#231;&#227;o maligna&#46; Relata-se o caso de um rapaz de 14 anos&#44; assintom&#225;tico&#44; referenciado &#224; consulta ap&#243;s detec&#231;&#227;o de imagem nodular na base do pulm&#227;o direito num radiograma de t&#243;rax&#46; A tomografia computorizada &#40;TC&#41; mostrou&#44; no pulm&#227;o direito&#44; forma&#231;&#227;o redonda de m&#233;dia densidade com centro cavitado&#46; Ap&#243;s um ano de seguimento&#44; mantinha-se assintom&#225;tico&#44; sendo a imagem radiol&#243;gica sobrepon&#237;vel&#46; Em conjunto com a equipa de cirurgia cardiotor&#225;cica foi decidido proceder a bi&#243;psia excisional&#46; O exame histol&#243;gico revelou um carcinoma bronqu&#237;olo-alveolar mucinoso associado a CPAM tipo 1&#46; Perante este resultado&#44; o doente foi submetido a lobectomia inferior direita&#46; No exame histol&#243;gico do restante lobo&#44; n&#227;o se identificou tumor ou malforma&#231;&#227;o residuais&#46; Mant&#233;m-se assintom&#225;tico e sem complica&#231;&#245;es passados dois anos&#46; Tanto quanto &#233; do conhecimento dos autores&#44; este &#233; o primeiro caso desta rara associa&#231;&#227;o em Portugal&#46; Discute-se a abordagem de les&#245;es qu&#237;sticas em doentes assintom&#225;ticos&#46;</p>"
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Article information
ISSN: 21735115
Original language: Portuguese
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Pulmonology

Are you a health professional able to prescribe or dispense drugs?