Jean Martin

121 statements · 5 topics · summaries given as host listed separately

Congenital Lung Lesions (CPAM) · guest expert Fetal Surgery · guest expert

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If you do them by thoracoscopy, I would, uh, urge you, though, to put the specimen in a bag before you extract, because if you end up mushing up the specimen in little pieces and then it turns out that it was a PPB, I think you might regret it because there's a risk of, uh, recurrence, I think.

quote · Congenital Lung Lesions (CPAM)

Absolutely, and remember to first do no harm. So if you're not sure, better not to put the mom through an exit because it is more invasive than a regular C-section.

quote · Bronchopulmonary Sequestration

There's one series actually out of Toronto that estimates that cystic lesions that look like CA, about 4% of them will actually turn out to be PPB.

quote · Congenital Lung Lesions (CPAM)

I think messing up with the diaphragm just for the fun of taking it out, you might have more complications than you have of leaving it there.

quote · Congenital Pulmonary Airway Malformation

I don't think, Infection and cancer is it a good argument to resect a non-communicating extralobar sequestration.

quote · Congenital Pulmonary Airway Malformation

It's just not a normal variant.

quote · Thoracoscopic Lung Resection

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Jean's statements about Bronchopulmonary Sequestration 6 statements

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Fetal Interventions Part II: Lung Lesions

Quotation I don't think we should call the CCA. We should say. Genital lung lesions and they're either macrocystic or they're hypeechoic or mixed, and this would avoid the confusion saying secams disappear because I agree with you, Alan, cams don't disappear if they are really cams, but CCA is a pathological diagnosis once a specimen is in the bucket. Open

Statement Prenatal lung lesions should be called 'congenital lung lesions' (macrocystic, hyperechoic, or mixed) rather than CCAMs, since CCAM is a pathological diagnosis requiring a specimen. Open

Statement Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. Open

Quotation So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. Open

Quotation Absolutely, and remember to first do no harm. So if you're not sure, better not to put the mom through an exit because it is more invasive than a regular C-section. Open

Statement EXIT procedures are more invasive than regular C-sections for the mother. Open

Jean's statements about Congenital Lung Lesions (CPAM) 55 statements

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Management of Asymptomatic Lung Lesions: Pediatric Thoracic Surgery Part...

Quotation One point I want to make that maybe Alan said but was not that clear from his slides is most people believe now that C cams do not become PPB, but PPB is a de novo tumor. Open

Statement Most experts now believe CCAMs do not become pleuropulmonary blastoma (PPB); rather, PPB is a de novo tumor that is cystic and cannot be differentiated from CCAM on imaging. Open

Quotation One point I want to make that maybe Alan said but was not that clear from his slides is most people believe now that C cams do not become PPB, but PPB is a de novo tumor. Open

Statement There are cases of prenatally diagnosed cystic lung lesions that turned out to be PPB after resection. Open

Quotation So I think the main thing is not that TCA may become PPB, but what you're looking at could be a PPB and you cannot distinguish. Open

Statement A Toronto series estimates that approximately 4% of cystic lesions that appear to be CCAM will actually turn out to be pleuropulmonary blastoma. Open

Quotation There's one series actually out of Toronto that estimates that cystic lesions that look like CA, about 4% of them will actually turn out to be PPB. Open

Statement A Toronto series estimates that approximately 4% of cystic lesions that appear to be CCAM will actually turn out to be pleuropulmonary blastoma. Open

Quotation There's one series actually out of Toronto that estimates that cystic lesions that look like CA, about 4% of them will actually turn out to be PPB. Open

Statement There is approximately 1% risk of bronchioloalveolar carcinoma arising from CCAM, typically in teenage years or early adulthood. Open

Quotation So I think it is a real risk, and if you decide to observe and not operate, you should inform people properly. Open

Quotation If you do them by thoracoscopy, I would, uh, urge you, though, to put the specimen in a bag before you extract, because if you end up mushing up the specimen in little pieces and then it turns out that it was a PPB, I think you might regret it because there's a risk of, uh, recurrence, I think. Open

Statement If thoracoscopic resection is performed, the specimen should be placed in a bag before extraction to avoid tumor spillage in case the lesion is PPB, as there is a risk of recurrence. Open

Statement Non-communicating extralobar sequestrations have a very low infection rate; hematogenous infection is possible but rare, similar to any other body tissue. Open

Quotation I don't think their infection rate is, is, uh, very high. Open

Statement Malignant transformation of extralobar sequestration is extremely rare, with perhaps one or two cases of squamous cell carcinoma described in world literature. Open

Quotation I don't think, Infection and cancer is it a good argument to resect a non-communicating extralobar sequestration. Open

Statement Infection and cancer are not good arguments to resect a non-communicating extralobar sequestration. Open

Quotation I don't think, Infection and cancer is it a good argument to resect a non-communicating extralobar sequestration. Open

Statement Infection and cancer are not good arguments to resect a non-communicating extralobar sequestration. Open

Quotation I think messing up with the diaphragm just for the fun of taking it out, you might have more complications than you have of leaving it there. Open

Statement A Children's Oncology Group (COG) study showed it is safe to observe adrenal masses suspicious for neuroblastoma, though they must be watched. Open

Statement Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CCAMs are essentially nonexistent in autopsy series. Open

Statement The majority of CCAMs become symptomatic; CCAM is not a normal variant. Open

Quotation It's just not a normal variant. Open

Fetal Interventions Part II: Lung Lesions

Statement Prenatal lung lesions should be called 'congenital lung lesions' (macrocystic, hyperechoic, or mixed) rather than CCAMs, since CCAM is a pathological diagnosis requiring a specimen. Open

Statement Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. Open

Quotation So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. Open

Quotation Absolutely, and remember to first do no harm. So if you're not sure, better not to put the mom through an exit because it is more invasive than a regular C-section. Open

Statement EXIT procedures are more invasive than regular C-sections for the mother. Open

Should We Resect Asymptomatic CPAM Flake vs Langer

Statement Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CPAMs are nonexistent in autopsy series. Open

Statement The majority of CPAMs become symptomatic; CPAM is not a normal variant. Open

Jean's statements about Congenital Pulmonary Airway Malformation 27 statements

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