Rivas RIA, Rodríguez BI, Rodríguez BR

Language: Spanish
References: 19
Page: 189-202
PDF size: 283.59 Kb.

ABSTRACT

Introduction: Prenatal sonographic diagnosis of congenital cystic adenomatoid malformation of the lung has been described in the medical literature since 1980. Before the advent of sonography, the diagnosis of cystic adenomatoid malformation was primarily made in symptomatic patients or it was a fortuitous finding. Currently, the technological advancement has allowed making a timely prenatal diagnosis, offering the patient a suitable and integral treatment.
Case: We describe the case of a newborn with the diagnosis of cystic adenomatoid malformation type II, which was diagnosed by prenatal sonography, which was surgically removed before any clinical manifestation.
Conclusions: Cystic adenomatoid malformation is an uncommon pathology characterized by an anomalous development of the lung. The prognosis of the patients with this pathology is getting better with time, because technology offers us the tools to elaborate a precise and opportune diagnosis.

REFERENCES

1. Stoerk O. Ueber angeborene blasige mis-bildung der lung. Wien Klin Wochenschr 1897;10:25-31.

2. Ch’in KJ, Tang MY. Congenital adenomatoid malformation of one lobe of a lung with general anasarca. Arch Pathol Lab Med 1949;48:221-9.

3. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977;8:155-71.

4. Stocker JT. Congenital and developmental diseases. In: Dail DH, and Hammar SP, editors. Pulmonary pathology. 2nd ed. New York: Springer Verlag, 1994;pp:174-80.

5. Stocker JT. Congenital pulmonary airway malformation: a new name and a expanded classification of congenital cystic adenomatoid malformations of the lung. Histopathology 2002;41(suppl):424-31.

6. Moerman P, Fryns JP, Vandenberghe K, Devlieger H, Lauweryns JM. Pathogenesis of congenital cystic adenomatoid malformation of the lung. Histopathology 1992;21:315-21.

7. Hernanz-Schulman M. Cysts and cystlike lesions of the lung. Radiol Clin North Am 1993;31:631-49.

8. Kirkpatrick JA, Fellows KE, Griscom NT. Sequestration, adenomatoid malformation, bronchogenic cyst, scimitar syndrome: a spectrum. Int Pediatr 1988;3:294-7.

9. Panicek DM, Heitzman ER, Randall PA, Groskin SA, et al. The continuum of pulmonary developmental anomalies. Radiographics 1987;7:747-72.

10. Hubbard AM, Adzick NS, Crombleholme TM, Coleman BG, et al. Congenital chest lesions: diagnosis and characterization with prenatal MR imaging. Radiology 1999;212:43-48.

11. Tagge EP, Mulvilhill D, Chandler JC. Childhood pleuropulmonary blastoma: caution against nonoperative management of congenital lung cysts. J Pediatr Surg 1996;31:187-9.

12. Murphy JJ, Blair GK, Fraser GC, Ashmore PG, et al. Rhabdomyosarcoma arising within congenital pulmonary cysts: report of three cases. J Pediatr Surg 1992;27:1364-7.

13. Bell-Thomson J, Missier P, Sommers SC. Lung carcinoma arising in bronchopulmonary sequestration. Cancer 1979;44:334-9.

14. Krous HF, Sexauer CL. Embryonal rhabdomyosarcoma arising within a congenital bronchogenic cyst in a child. J Pediatr Surg 1981;16:506-8.

15. Ueda K, Gruppo R, Unger F, Martin L, Bove K. Rhabdomyosarcoma of lung arising in congenital cystic adenomatoid. Cancer 1977;40:383-8.

16. Adzick NS. Fetal thoracic lesions. Semin Pediatr Surg 1993;2:103-8.

17. Bromley B, Parad R, Estroff JA, Benacerraf BR. Fetal lung masses: prenatal course and outcome. J Ultrasound Med 1995;14:927-36.

18. Morin L, Crombleholme TM, D’Alton ME. Prenatal diagnosis and management of fetal thoracic lesions. Semin Perinatol 1994;18:228-53.

19. Devine PC, Malone FD, Athanassiou A, Harvey-Wilkes K, D’Alton ME. Maternal and neonatal outcome of 100 consecutive triplet pregnancies. Am J Perinatol 2001;18:225-35.