Jean Martin

102 timestamped statements across 4 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

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

Featured diaries

▶ Ep 2 · 7:45
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.
quote · Bronchopulmonary Sequestration
▶ Ep 5 · 7:45
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.
quote · Congenital Lung Lesions (CPAM)
▶ Ep 5 · 7:45
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.
quote · Congenital Lung Lesions (CPAM)
▶ Ep 5 · 7:45
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.
quote · Congenital Pulmonary Airway Malformation
▶ Ep 5 · 7:45
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.
quote · Fetal Surgery
▶ Ep 5 · 7:45
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.
quote · Fetal Surgery

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Bronchopulmonary Sequestration 6 entries

Fetal Interventions Part II: Lung Lesions

▶ Ep 2 · 7:45
clinical 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. ↗
▶ Ep 2 · 7:45
quote 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. ↗
▶ Ep 2 · 8:17
clinical Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. ↗
▶ Ep 2 · 9:09
quote So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. ↗
▶ Ep 2 · 9:56
quote 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. ↗
▶ Ep 2 · 9:59
clinical EXIT procedures are more invasive than regular C-sections for the mother. ↗
Congenital Lung Lesions (CPAM) 56 entries

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

▶ Ep 6 · 0:31
clinical 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. ↗
▶ Ep 6 · 0:31
clinical 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. ↗
▶ Ep 6 · 0:31
quote 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. ↗
▶ Ep 6 · 0:31
quote 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. ↗
▶ Ep 6 · 0:51
clinical There are cases of prenatally diagnosed cystic lung lesions that turned out to be PPB after resection. ↗
▶ Ep 6 · 0:51
clinical There are cases of prenatally diagnosed cystic lung lesions that turned out to be PPB after resection. ↗
▶ Ep 6 · 0:58
quote 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. ↗
▶ Ep 6 · 0:58
quote 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. ↗
▶ Ep 6 · 1:24
quote 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. ↗
▶ Ep 6 · 1:24
quote 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. ↗
▶ Ep 6 · 1:24
epidemiological A Toronto series estimates that approximately 4% of cystic lesions that appear to be CCAM will actually turn out to be pleuropulmonary blastoma. ↗
▶ Ep 6 · 1:24
epidemiological A Toronto series estimates that approximately 4% of cystic lesions that appear to be CCAM will actually turn out to be pleuropulmonary blastoma. ↗
▶ Ep 6 · 1:34
epidemiological There is approximately 1% risk of bronchioloalveolar carcinoma arising from CCAM, typically in teenage years or early adulthood. ↗
▶ Ep 6 · 1:34
epidemiological There is approximately 1% risk of bronchioloalveolar carcinoma arising from CCAM, typically in teenage years or early adulthood. ↗
▶ Ep 6 · 1:48
quote So I think it is a real risk, and if you decide to observe and not operate, you should inform people properly. ↗
▶ Ep 6 · 1:48
quote So I think it is a real risk, and if you decide to observe and not operate, you should inform people properly. ↗
▶ Ep 6 · 2:11
clinical 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. ↗
▶ Ep 6 · 2:11
quote 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. ↗
▶ Ep 6 · 2:11
quote 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. ↗
▶ Ep 6 · 2:11
clinical 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. ↗
▶ Ep 6 · 2:39
clinical Non-communicating extralobar sequestrations have a very low infection rate; hematogenous infection is possible but rare, similar to any other body tissue. ↗
▶ Ep 6 · 2:39
clinical Non-communicating extralobar sequestrations have a very low infection rate; hematogenous infection is possible but rare, similar to any other body tissue. ↗
▶ Ep 6 · 2:50
quote I don't think their infection rate is, is, uh, very high. ↗
▶ Ep 6 · 2:50
quote I don't think their infection rate is, is, uh, very high. ↗
▶ Ep 6 · 3:00
epidemiological Malignant transformation of extralobar sequestration is extremely rare, with perhaps one or two cases of squamous cell carcinoma described in world literature. ↗
▶ Ep 6 · 3:00
epidemiological Malignant transformation of extralobar sequestration is extremely rare, with perhaps one or two cases of squamous cell carcinoma described in world literature. ↗
▶ Ep 6 · 3:11
quote I don't think, Infection and cancer is it a good argument to resect a non-communicating extralobar sequestration. ↗
▶ Ep 6 · 3:11
opinion Infection and cancer are not good arguments to resect a non-communicating extralobar sequestration. ↗
▶ Ep 6 · 3:11
quote I don't think, Infection and cancer is it a good argument to resect a non-communicating extralobar sequestration. ↗
▶ Ep 6 · 3:11
opinion Infection and cancer are not good arguments to resect a non-communicating extralobar sequestration. ↗
▶ Ep 6 · 3:35
quote 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. ↗
▶ Ep 6 · 3:35
quote 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. ↗
▶ Ep 6 · 5:52
clinical A Children's Oncology Group (COG) study showed it is safe to observe adrenal masses suspicious for neuroblastoma, though they must be watched. ↗
▶ Ep 6 · 5:52
clinical A Children's Oncology Group (COG) study showed it is safe to observe adrenal masses suspicious for neuroblastoma, though they must be watched. ↗
▶ Ep 6 · 15:44
epidemiological Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CCAMs are essentially nonexistent in autopsy series. ↗
▶ Ep 6 · 15:44
epidemiological Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CCAMs are essentially nonexistent in autopsy series. ↗
▶ Ep 6 · 16:04
opinion The majority of CCAMs become symptomatic; CCAM is not a normal variant. ↗
▶ Ep 6 · 16:04
opinion The majority of CCAMs become symptomatic; CCAM is not a normal variant. ↗
▶ Ep 6 · 16:09
quote It's just not a normal variant. ↗
▶ Ep 6 · 16:09
quote It's just not a normal variant. ↗

Fetal Interventions Part II: Lung Lesions

▶ Ep 5 · 7:45
quote 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. ↗
▶ Ep 5 · 7:45
clinical 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. ↗
▶ Ep 5 · 7:45
clinical 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. ↗
▶ Ep 5 · 7:45
quote 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. ↗
▶ Ep 5 · 8:17
clinical Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. ↗
▶ Ep 5 · 8:17
clinical Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. ↗
▶ Ep 5 · 9:09
quote So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. ↗
▶ Ep 5 · 9:09
quote So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. ↗
▶ Ep 5 · 9:56
quote 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. ↗
▶ Ep 5 · 9:56
quote 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. ↗
▶ Ep 5 · 9:59
clinical EXIT procedures are more invasive than regular C-sections for the mother. ↗
▶ Ep 5 · 9:59
clinical EXIT procedures are more invasive than regular C-sections for the mother. ↗

Should We Resect Asymptomatic CPAM Flake vs Langer

▶ Ep 17 · 9:30
epidemiological Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CPAMs are nonexistent in autopsy series. ↗
▶ Ep 17 · 9:30
host_summary Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CPAMs are nonexistent in autopsy series. ↗
▶ Ep 17 · 10:00
opinion The majority of CPAMs become symptomatic; CPAM is not a normal variant. ↗
▶ Ep 17 · 10:00
opinion The majority of CPAMs become symptomatic; CPAM is not a normal variant. ↗
Congenital Pulmonary Airway Malformation 28 entries

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

▶ Ep 4 · 0:31
quote 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. ↗
▶ Ep 4 · 0:31
clinical 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. ↗
▶ Ep 4 · 0:51
clinical There are cases of prenatally diagnosed cystic lung lesions that turned out to be PPB after resection. ↗
▶ Ep 4 · 0:58
quote 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. ↗
▶ Ep 4 · 1:24
quote 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. ↗
▶ Ep 4 · 1:24
epidemiological A Toronto series estimates that approximately 4% of cystic lesions that appear to be CCAM will actually turn out to be pleuropulmonary blastoma. ↗
▶ Ep 4 · 1:34
epidemiological There is approximately 1% risk of bronchioloalveolar carcinoma arising from CCAM, typically in teenage years or early adulthood. ↗
▶ Ep 4 · 1:48
quote So I think it is a real risk, and if you decide to observe and not operate, you should inform people properly. ↗
▶ Ep 4 · 2:11
quote 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. ↗
▶ Ep 4 · 2:11
clinical 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. ↗
▶ Ep 4 · 2:39
clinical Non-communicating extralobar sequestrations have a very low infection rate; hematogenous infection is possible but rare, similar to any other body tissue. ↗
▶ Ep 4 · 2:50
quote I don't think their infection rate is, is, uh, very high. ↗
▶ Ep 4 · 3:00
epidemiological Malignant transformation of extralobar sequestration is extremely rare, with perhaps one or two cases of squamous cell carcinoma described in world literature. ↗
▶ Ep 4 · 3:11
quote I don't think, Infection and cancer is it a good argument to resect a non-communicating extralobar sequestration. ↗
▶ Ep 4 · 3:11
opinion Infection and cancer are not good arguments to resect a non-communicating extralobar sequestration. ↗
▶ Ep 4 · 3:35
quote 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. ↗
▶ Ep 4 · 5:52
clinical A Children's Oncology Group (COG) study showed it is safe to observe adrenal masses suspicious for neuroblastoma, though they must be watched. ↗
▶ Ep 4 · 15:44
epidemiological Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CCAMs are essentially nonexistent in autopsy series. ↗
▶ Ep 4 · 16:04
opinion The majority of CCAMs become symptomatic; CCAM is not a normal variant. ↗
▶ Ep 4 · 16:09
quote It's just not a normal variant. ↗

Fetal Interventions Part II: Lung Lesions

▶ Ep 5 · 7:45
clinical 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. ↗
▶ Ep 5 · 7:45
quote 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. ↗
▶ Ep 5 · 8:17
clinical Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. ↗
▶ Ep 5 · 9:09
quote So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. ↗
▶ Ep 5 · 9:56
quote 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. ↗
▶ Ep 5 · 9:59
clinical EXIT procedures are more invasive than regular C-sections for the mother. ↗

Should We Resect Asymptomatic CPAM Flake vs Langer

▶ Ep 12 · 9:30
host_summary Small asymptomatic extralobar sequestrations are a relatively known finding at autopsy, but asymptomatic CPAMs are nonexistent in autopsy series. ↗
▶ Ep 12 · 10:00
opinion The majority of CPAMs become symptomatic; CPAM is not a normal variant. ↗
Fetal Surgery 12 entries

Fetal Interventions Part II: Lung Lesions

▶ Ep 5 · 7:45
clinical 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. ↗
▶ Ep 5 · 7:45
quote 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. ↗
▶ Ep 5 · 7:45
clinical 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. ↗
▶ Ep 5 · 7:45
quote 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. ↗
▶ Ep 5 · 8:17
clinical Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. ↗
▶ Ep 5 · 8:17
clinical Many tertiary centers have the capacity to perform EXIT procedures with a huge team approach and leadership. ↗
▶ Ep 5 · 9:09
quote So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. ↗
▶ Ep 5 · 9:09
quote So thank God that they didn't do an exit to lobectomy procedure, then there would be no lung left. ↗
▶ Ep 5 · 9:56
quote 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. ↗
▶ Ep 5 · 9:56
quote 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. ↗
▶ Ep 5 · 9:59
clinical EXIT procedures are more invasive than regular C-sections for the mother. ↗
▶ Ep 5 · 9:59
clinical EXIT procedures are more invasive than regular C-sections for the mother. ↗