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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2-3
|
| pubmed:dateCreated |
1997-5-21
|
| pubmed:abstractText |
Prenatal ultrasonographic (US) detection of congenital adenomatoid malformation (CAM) was made in 18 fetuses at 17 - 36 weeks' gestation and managed in our institution during a 10-year period (1985-1994). The lesion was left-sided in 13 cases, right-sided in 4, and bilateral in 1. According to Stocker's classification, 12 cases were type I, 4 type II, and 2 type III. The prenatal course was followed with serial US examinations in 13 cases; the size of the lesion was stable in 8 and decreased in 5. Mediastinal shift was usually observed, and amniotic fluid volume was increased in 4 cases. One fetus was aborted. Six infants presented with respiratory distress syndrome and required neonatal surgery; delayed surgery was performed in 9 cases. Spontaneous regression of the lesion was observed on follow-up in 2 cases. Surgery consisted in lobectomy in 8 cases and segmentectomy in 6. The presence of fetal hydrops, type III lesions, and bilateral lung involvement are prenatal factors known to be associated with a poor prognosis. However, this series and a review of the literature suggest that caution should be observed with regard to the initial impression when counseling the parents regarding prognosis.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Feb
|
| pubmed:issn |
0179-0358
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
12
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
126-9
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9156837-Cystic Adenomatoid Malformation of Lung, Congenital,
pubmed-meshheading:9156837-Female,
pubmed-meshheading:9156837-Follow-Up Studies,
pubmed-meshheading:9156837-Gestational Age,
pubmed-meshheading:9156837-Humans,
pubmed-meshheading:9156837-Infant, Newborn,
pubmed-meshheading:9156837-Lung,
pubmed-meshheading:9156837-Male,
pubmed-meshheading:9156837-Pneumonectomy,
pubmed-meshheading:9156837-Pregnancy,
pubmed-meshheading:9156837-Treatment Outcome,
pubmed-meshheading:9156837-Ultrasonography, Prenatal
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Congenital adenomatoid disease of the lung: prenatal diagnosis and perinatal management.
|
| pubmed:affiliation |
Department of Pediatric Surgery, Saint Vincent De Paul's Hospital, 78 - 82, avenue Denfort-Rochereon, F-75674 Paris Cedex 14, France.
|
| pubmed:publicationType |
Journal Article
|