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Spontaneous resolution of nonimmune hydrops in a fetus with a cystic adenomatoid malformation.
Higby, K; Melendez, B A; Heiman, H S.
Afiliación
  • Higby K; Department of Obstetrics/Gynecology, Wilford Hall Medical Center, Lackland Air Force Base, Tex 78236-5300, USA.
J Perinatol ; 18(4): 308-10, 1998.
Article en En | MEDLINE | ID: mdl-9730204
Congenital cystic adenomatoid malformation (CCAM) is a rare pulmonary anomaly. It is a hamartomatous lesion characterized by a cessation of normal bronchiolar maturation, resulting in overgrowth of the terminal bronchioles. There is no preference for sex or location, and usually the lesion is confined to a single lobe. CCAMs have been classified into three subtypes according to the presence of and size of the cysts. Type I lesions have large cysts (2 to 10 cm in diameter), type II have smaller cysts (< 1 cm in diameter), and type III is noncystic. There have been several reports of diminution in size of these lesions and complete regression. However, in those cases fetal hydrops was absent. In the presence of nonimmune hydrops, fetal prognosis is extremely poor without any intervention. There are only two case reports describing fetal survival without intervention when nonimmune hydrops is present. We present a case of survival of a fetus with CCAM and nonimmune hydrops diagnosed at 24 weeks' gestation.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hidropesía Fetal / Malformación Adenomatoide Quística Congénita del Pulmón / Ultrasonografía Prenatal Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 1998 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hidropesía Fetal / Malformación Adenomatoide Quística Congénita del Pulmón / Ultrasonografía Prenatal Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Perinatol Asunto de la revista: PERINATOLOGIA Año: 1998 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos