Pregledni rad
CONGENITAL CYSTIC ADENOMATOID MALFORMATION
Radu Vladareanu
orcid.org/0000-0001-9512-2673
; Department of Obstetrics and Gynecology, Elias Emergency University Hospital
Dimitrie Pelinescu-Onciul
; Department of Obstetrics and Gynecology, Filantropia Maternity Hospital, Bucharest, Romania
Mona Zvânca
Doina Mihalescu
Sažetak
Cystic adenomatoid lung malformation (CCAM) is a rare disease, with a prevalence 1/25 000 to 1/35 000 pregnancies, a developmental abnormality arising from an overgrowth of the terminal respiratory bronchioles. Prenatal diagnosis is based on the ultrasonographic demonstration of a hyperechogenic pulmonary tumor, which is microcystic or macrocystic. The disease may be associated with a mediastinal shift, hydrops fetalis or polyhydramnios. The outcome is bad in bilateral cases, in those with pulmonary hypoplasia and with fetal hydrops. In unilateral and isolated cases the prognosis may be good. Spontaneous resolution occurs prenatally only in the third trimester of pregnancy. Three cases of CCAM are presented. The case of type I was diagnosed at 28 weeks and regression occured in the third trimester, at 36 weeks of gestation. The prenatal and postnatal pictures of a case of the lung type II and of a case of CCAM type III with echogenic appearance of a uniformly solid mass, are presented too.
Ključne riječi
congenital cystic adenomatoid malformation; prenatal diagnosis; ultrasound; fetal therapy
Hrčak ID:
23413
URI
Datum izdavanja:
1.6.2007.
Posjeta: 3.941 *