Current Management of Pleuropulmonary Blastoma: A Surgical Perspective

Pleuropulmonary blastomas (PPB) are pediatric, embryonal cancers of the lung parenchyma and pleural surfaces and are among the most common DICER1—related disorders. These tumors undergo evolution through several forms, allowing division into types I, Ir, II, and III, with correlates to the...

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Main Authors: Samantha Knight, Tristan Knight, Amir Khan, Andrew J. Murphy
Format: Article
Language:English
Published: MDPI AG 2019-07-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/6/8/86
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author Samantha Knight
Tristan Knight
Amir Khan
Andrew J. Murphy
author_facet Samantha Knight
Tristan Knight
Amir Khan
Andrew J. Murphy
author_sort Samantha Knight
collection DOAJ
description Pleuropulmonary blastomas (PPB) are pediatric, embryonal cancers of the lung parenchyma and pleural surfaces and are among the most common DICER1—related disorders. These tumors undergo evolution through several forms, allowing division into types I, Ir, II, and III, with correlates to the age of diagnosis and prognosis. We sought to provide a comprehensive review of the relevant literature describing the characteristics of these tumors and their multidisciplinary treatment, with an emphasis on surgical management. We describe the complementary roles of chemotherapy and surgery in the successful management of this disease. We discuss the timing of surgery and options for surgical approaches. We address the differentiation of PPB from congenital pulmonary airway malformation and the role of DICER1 testing for children with pulmonary cysts.
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spelling doaj.art-30a705dfe9bd46a19c5e8fde928b51312022-12-21T22:24:35ZengMDPI AGChildren2227-90672019-07-01688610.3390/children6080086children6080086Current Management of Pleuropulmonary Blastoma: A Surgical PerspectiveSamantha Knight0Tristan Knight1Amir Khan2Andrew J. Murphy3Southern Illinois University School of Medicine, Division of Surgery, Department of General Surgery, Springfield, IL 62702, USADivision of Pediatric Hematology and Oncology, Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI 48201, USASouthern Illinois University School of Medicine, Division of Surgery, Department of General Surgery, Springfield, IL 62702, USADepartment of Surgery, St. Jude Children’s Research Hospital, Memphis, TN 38105, USAPleuropulmonary blastomas (PPB) are pediatric, embryonal cancers of the lung parenchyma and pleural surfaces and are among the most common DICER1—related disorders. These tumors undergo evolution through several forms, allowing division into types I, Ir, II, and III, with correlates to the age of diagnosis and prognosis. We sought to provide a comprehensive review of the relevant literature describing the characteristics of these tumors and their multidisciplinary treatment, with an emphasis on surgical management. We describe the complementary roles of chemotherapy and surgery in the successful management of this disease. We discuss the timing of surgery and options for surgical approaches. We address the differentiation of PPB from congenital pulmonary airway malformation and the role of DICER1 testing for children with pulmonary cysts.https://www.mdpi.com/2227-9067/6/8/86pleuropulmonary blastomacongenital pulmonary airway malformationscongenital cystic adenomatoid malformationsDICER1multidisciplinary managementsurgery
spellingShingle Samantha Knight
Tristan Knight
Amir Khan
Andrew J. Murphy
Current Management of Pleuropulmonary Blastoma: A Surgical Perspective
Children
pleuropulmonary blastoma
congenital pulmonary airway malformations
congenital cystic adenomatoid malformations
DICER1
multidisciplinary management
surgery
title Current Management of Pleuropulmonary Blastoma: A Surgical Perspective
title_full Current Management of Pleuropulmonary Blastoma: A Surgical Perspective
title_fullStr Current Management of Pleuropulmonary Blastoma: A Surgical Perspective
title_full_unstemmed Current Management of Pleuropulmonary Blastoma: A Surgical Perspective
title_short Current Management of Pleuropulmonary Blastoma: A Surgical Perspective
title_sort current management of pleuropulmonary blastoma a surgical perspective
topic pleuropulmonary blastoma
congenital pulmonary airway malformations
congenital cystic adenomatoid malformations
DICER1
multidisciplinary management
surgery
url https://www.mdpi.com/2227-9067/6/8/86
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AT tristanknight currentmanagementofpleuropulmonaryblastomaasurgicalperspective
AT amirkhan currentmanagementofpleuropulmonaryblastomaasurgicalperspective
AT andrewjmurphy currentmanagementofpleuropulmonaryblastomaasurgicalperspective