Antenatal Diagnosis and Surgical Management of Congenital Cystic Adenomatoid Malformation of the Lung
| Autor: | Tomoaki Taguchi, Takeshi Yamanouchi, Shoji Satoh, Hitoo Nakano, Miki Nagano, Takashi Koyanagi, Sachiyo Suita |
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| Rok vydání: | 1995 |
| Předmět: |
Male
Embryology medicine.medical_specialty medicine.medical_treatment Prenatal diagnosis Ultrasonography Prenatal Pulmonary hypoplasia Fatal Outcome Pregnancy Cystic Adenomatoid Malformation of Lung Congenital Prenatal Diagnosis Hydrops fetalis Humans Medicine Radiology Nuclear Medicine and imaging Lung Respiratory distress business.industry Fetal surgery Respiratory disease Infant Newborn Obstetrics and Gynecology General Medicine medicine.disease Surgery medicine.anatomical_structure Respiratory failure Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Fetal Diagnosis and Therapy. 10:400-407 |
| ISSN: | 1421-9964 1015-3837 |
| Popis: | We experienced 12 cases of congenital cystic adenomatoid malformation of the lung (CCAM) including 6 cases diagnosed antenatally. They were classified into three groups according to the clinical manifestations. Group A was associated with hydrops fetalis (n = 3), group B presented with respiratory distress symptoms after birth (n = 6), and group C showed no respiratory symptoms (n = 3). All cases of group A were lost because of hydrops and respiratory failure due to pulmonary hypoplasia. Because a compression of the mass is thought to be a cause of hydrops, this group is considered to be a good indication for fetal treatment. All cases of group B showed progressive respiratory symptoms a few days after birth which were successfully treated surgically. In 2 of 3 cases of group C, the lesions decreased in size both antenatally and postnatally. We conclude that serial sonographic evaluations for fetal CCAM are important. If the fetus develops hydrops, fetal surgery is to be considered. If not, however, fetal surgery should not be done, because some lesions can shrink in size, or even disappear, while others can be treated successfully after birth by lobectomy or even segmentectomy. |
| Databáze: | OpenAIRE |
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