Evidence map›Paper›PMID 40174959›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2025

Risk of malignant transformation and infections in congenital lung malformations in adults: a systematic review.

Federica Pederiva, Paolo Dalena, Noemi Pasqua, Ilia Bresesti, Valeria Testa, Salvatore Zirpoli, Valerio Gentilino

Abstract readSystematic Review
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Review
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  13. Reply to: Comment on: Risk of malignant transformation and infections in congenital lung malformations in adults: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Article
  14. Comment on: Risk of malignant transformation and infections in congenital lung malformations in adults: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Federica PederivaPediatric Surgery, "F. Del Ponte" Hospital, ASST Settelaghi, Varese, Italy federica_pederiva@yahoo.it.ORCID https://orcid.org/0000-0002-2792-1550
Paolo DalenaInstitute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Noemi PasquaPediatric Surgery, "F. Del Ponte" Hospital, ASST Settelaghi, Varese, Italy.
Ilia BresestiNeonatal Intensive Care Unit, "F. Del Ponte" Hospital, ASST Settelaghi, Varese, Italy.
Valeria TestaUniversity of Brescia, Brescia, Italy.
Salvatore ZirpoliDepartment of Radiology, "Vittore Buzzi" Children's Hospital, Milano, Italy.
Valerio GentilinoPediatric Surgery, "F. Del Ponte" Hospital, ASST Settelaghi, Varese, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there is agreement on surgically removing symptomatic congenital lung malformations (CLMs), the management of asymptomatic cases remains controversial. Some paediatric surgeons suggest conservative management for asymptomatic cases due to the low perceived risk of developing symptoms or malignancy. This study aimed to investigate the characteristics and management of adults with CLMs.

methodsFollowing PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic review was conducted to find studies reporting on adult patients (aged ≥15 years) with CLMs.

resultsOut of 12 908 studies reviewed from 1947 to 2024, 653 studies met the inclusion criteria, covering 980 patients. None of the patients had a prenatal diagnosis. The mean±sd age at surgery was 39.4±15.7 years (range 15-86). A total of 74.4% of adults with CLMs presented with symptoms, leading to the detection of CLM. Pneumonia was the most common symptom in congenital pulmonary airway malformation (CPAM) and intralobar sequestration, with over 30% of these patients experiencing recurrent respiratory infections. In 11.7% of adults, CLMs harboured tumours at the time of surgical removal, with CPAM associated with lung tumours in over 20% of cases.

conclusionsThoracic surgeons recommend surgical resection for all adult CLM patients, including asymptomatic cases, due to risks of infections and malignancy. Conservative management was considered only when surgery was not feasible.

Indexed as

Cell Transformation, NeoplasticCystic Adenomatoid Malformation of Lung, CongenitalLungLung NeoplasmsRespiratory System AbnormalitiesRespiratory Tract InfectionsAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRisk AssessmentRisk Factors

Identifiers

PMID40174959
PMCPMC11963009

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.