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Volume 335:1689-1690 November 28, 1996 Number 22
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Surgery for Congenital Cystic Adenomatoid Malformation of the Lung

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 by Kinane, T.B.
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To the Editor: In discussing Case 20-1996, which involved a congenital cystic adenomatoid malformation of the lung (June 27 issue),1 Dr. Kinane states that the diagnostic and therapeutic procedure is a resection of the abnormal tissue. This may not always be the case.

In a study of 61 live-born infants with this malformation, 16 (26 percent) did not need surgery.2 If complications or symptoms are present, then surgery is required, but if there are no symptoms, some centers recommend a policy of watchful waiting and do not subject the patient to a thoracotomy, with the removal of a segment or . . . [Full Text of this Article]

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