weekly_question 25/9/2022

[Admin]

A 15 month-old boy presents with a cough. A chest x-ray and subsequent CT scan demonstrate a cystic mass in the right lower lobe. Two prenatal ultrasounds showed no evidence of a lung lesion. The most appropriate management is:

A Bronchoscopy

B Repeat chest x-ray in three months

C Right lower lobectomy

D Thoracoscopic wedge resection of cyst

E Cyst aspiration and sclerosis

[Admin]

correct answer
C Right lower lobectomy

A cystic lung mass that was not apparent on prenatal ultrasound is suspicious for a Type I pleuropulmonary blastoma. Although a thoracoscopic lobectomy might be feasible, some have advocated an open approach in order to avoid upstaging the tumor. Observation with a follow-up chest x-ray would risk tumor progression. Aspiration or bronchoscopy would also not be appropriate.

[Magdilolah]

E.

[Dr.bara]

C

[Admin]

correct answer
C Right lower lobectomy

A cystic lung mass that was not apparent on prenatal ultrasound is suspicious for a Type I pleuropulmonary blastoma. Although a thoracoscopic lobectomy might be feasible, some have advocated an open approach in order to avoid upstaging the tumor. Observation with a follow-up chest x-ray would risk tumor progression. Aspiration or bronchoscopy would also not be appropriate.