1. The ten-year evaluation of clinical characteristics in congenital lung anomaly in pediatrics; a retrospective study in North of Iran.
- Author
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Lashkarbolouk N, Mazandarani M, Azari AA, Ghorbani S, and Shahkar L
- Subjects
- Humans, Retrospective Studies, Iran epidemiology, Female, Male, Infant, Child, Preschool, Lung abnormalities, Lung diagnostic imaging, Pulmonary Emphysema congenital, Pulmonary Emphysema diagnostic imaging, Pulmonary Emphysema epidemiology, Pulmonary Emphysema diagnosis, Child, Bronchopulmonary Sequestration diagnostic imaging, Bronchopulmonary Sequestration epidemiology, Lung Diseases congenital, Lung Diseases epidemiology, Lung Diseases diagnostic imaging, Lung Diseases diagnosis, Bronchogenic Cyst diagnostic imaging, Bronchogenic Cyst epidemiology, Bronchogenic Cyst diagnosis, Bronchogenic Cyst congenital, Infant, Newborn, Prevalence, Cystic Adenomatoid Malformation of Lung, Congenital diagnostic imaging, Cystic Adenomatoid Malformation of Lung, Congenital diagnosis, Cystic Adenomatoid Malformation of Lung, Congenital epidemiology
- Abstract
Introduction: Congenital lung anomalies (CLA) are a group of anomalies, including congenital cystic adenomatoid malformation (CCAM), bronchopulmonary sequestrations (BPS), congenital lobar emphysema (CLE), and bronchogenic cysts (BC). The prevalence of these rare anomalies has risen in recent years, according to various population-based studies due to advances in fetal ultrasound technology., Method: This retrospective study examines the diagnosis of CLA, and was conducted on 72 patients between March 2014 and March 2024 at Taleghani Pediatric Hospital in Gorgan, Iran., Result: The average age was 18.8 ± 30.3 months, with the majority being boys (62.5%). Most participants had CCAM (41.7%), followed by CLE (18.1%), BPS (16.7%), pulmonary hypoplasia (9.7%), BC (8.3%), and hybrid lesion (5.6%). The majority of patients were Fars (62.5%), and the average hospitalization days was 9.4 ± 4.5 days. Cardiac anomalies were observed in 19.4% of the patients. 62 patients (86.1%) exhibited respiratory symptoms, and prenatal screening during pregnancy led to the diagnosis in 51 patients (70.8%). Most patients had left lung anomalies (43; 59.7%), and the majority (90.3%) survived. There is a statistically significant relation between needed for surgical treatment and patients' type of pulmonary lesions (p-value: 0.02). In addition, there was a significant relation between the Fars ethnicity and the presence of cardiac anomalies (p-value: 0.04)., Conclusion: Some CLAs remain undiagnosed or untreated due to the rare nature of congenital lung anomalies. Nevertheless, improvements in ultrasound and other imaging methods will make diagnosing and managing these anomalies during the prenatal period more prevalent, resulting in enhanced understanding., (© 2024. The Author(s).)
- Published
- 2024
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