Naslov
PLACENTAL TRANSMOGRIFICATION OF THE LUNG: A CASE REPORT

Autori
Škifić, I ; Pačić, A ; Pejić, J ; Tomasović-Lončarić, Č

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Book of Abstracts / - , 2022, 82-82

Skup
28th Ljudevit Jurak International Symposium on Comparative Pathology with One Health Session

Mjesto i datum
Zagreb, Hrvatska, 10.06.2022. - 11.06.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
PLACENTAL TRANSMOGRIFICATION

Sažetak
Pulmonary placental transmogrification (PTL) is a rare benign lung lesion that morphologically resembles immature placental structures and was first described by Mc Chesney in 1979. To date, fewer than 40 cases have been reported in the literature. The exact etiology is still unknown. Most reported cases are associated with either bullous emphysema or pulmonary fibrochondromatous hamartomas and pulmonary lipomatosis, rarely lung adenocarcinoma. In our case a 45-year-old male was refered to our hospital for surgical treatment of bullous emphysema of the left lung lobe. A left thoracotomy and atypical resection of the upper and lower lobes of the left lung are performed. Marcoscopic examination revealed blebs and bullae up to 4 cm in diameter. Histological examination revealed an emphysematous alveolar parenchyma, and for the most part the parenchyma was cystic with visible papillary structures of various appearances. Some papillae had edematous and vascularized connective stroma with ectatic capillaries in places. Some papillae had mature adipose tissue in the stroma, and some were cellular, filled with uniform clear cells. Histological findings corresponded to placental transmogrification of the lungs. During 18 month of follow-up the patient had no respiratory problems and had no progression of bullous changes. PTL is a rare and benign pulmonary condition that must be ruled out in all patients with unilateral bullous emphysema, with no known risk factors. Surgical excision has both diagnostic and therapeutic benefits because PTL has a tendency to worsen if left untreated.

Izvorni jezik
Engleski

POVEZANOST RADA