An unusual case of metastatic trophoblastic neoplasm presenting with diffuse cystic lung disease and pulmonary artery pseudoaneurysms in a teenager

Pediatr Pulmonol. 2024 May;59(5):1482-1486. doi: 10.1002/ppul.26936. Epub 2024 Feb 23.

Abstract

Diffuse cystic lung diseases (DCLDs) are a diverse group of lung disorders characterized by the presence of multiple air filled cysts within the lung tissue. These cysts are thin walled and surrounded by normal lung tissue. In adults, DCLD can be associated with various conditions such as lymphangioleiomyomatosis (LAM), Langerhans cell histiocytosis, cancers, and more. In children, DCLD is often linked to lung developmental abnormalities, with bronchopulmonary dysplasia being a common cause. Patients with pulmonary cysts are typically asymptomatic, but some may experience mild symptoms or pneumothorax. While DCLD in children is rarely due to malignancy, metastatic lung disease can be a cause. It is important for clinicians to be aware of the possibility of metastatic lung disease when encountering DCLD.

Keywords: cystic lung lesions; diffuse lung disease; lung cysts; metastatic lung disease; trophoblastic neoplasm.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aneurysm, False / diagnostic imaging
  • Cysts / complications
  • Cysts / diagnostic imaging
  • Female
  • Humans
  • Lung Diseases / diagnostic imaging
  • Lung Neoplasms / complications
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology
  • Lung Neoplasms / secondary
  • Pregnancy
  • Pulmonary Artery* / abnormalities
  • Pulmonary Artery* / diagnostic imaging
  • Pulmonary Artery* / pathology
  • Tomography, X-Ray Computed

Supplementary concepts

  • Cystic Disease Of Lung

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