Antenatal diagnosis of pulmonary tumours: report of two cases

Avni, Efraim; Vanderelst, A.; Gansbeke, Daniel Van; Schils, Jean; Rodesch, Frédéric

doi:10.1007/bf02456284

Cited by 18 publications

(10 citation statements)

References 14 publications

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“…There have been sev eral reports on aspiration and shunt opera tion. Aspiration was not effective as 3 of 4 cases showed re-expansion [3][4][5][6], while a cystamniotic shunt was reported to be effective. In particular, the first report was by Clark et al [5] who reported on the successful treat ment of a hydrops patient by using the double pigtail catheter.…”

Section: Discussionmentioning

confidence: 99%

“…Mu cus-producing cells are seen not only along the wall, but also in the gland-like structures be neath the wall. Focally increased elastic tissue in the cystic wall and absence of inflammation are also characteristic pathological findings [2], Due to the progress in antenatal diagnosis, several cases of CCAM were diagnosed antenatally, and some pioneers have been trying to treat them in utero [3][4][5][6][7], Here, we are going to report 12 cases of CCAM and discuss the strategy of an ideal treatment.…”

Section: Introductionmentioning

confidence: 99%

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Antenatal Diagnosis and Surgical Management of Congenital Cystic Adenomatoid Malformation of the Lung

Taguchi

Suita

Yamanouchi³

et al. 1995

Fetal Diagn Ther

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Antenatal Diagnosis and Surgical Management of Congenital Cystic Adenomatoid Malformation of the Lung

Taguchi

Suita

Yamanouchi³

et al. 1995

Fetal Diagn Ther

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“…The authors did not feel that thoracentesis contributed to the outcome because of the rapid reaccumulation of cyst fluid [3]. The second example was in a fetus at 26 weeks ges tation exhibiting hydrops and right mediasti nal shift secondary to a large multiloculated cystic mass [4]. Thoracentesis was performed and 120 ml clear fluid was removed.…”

Section: Discussionmentioning

confidence: 99%

“…Two cases of intrauterine thoracentesis for cystic adenomatoid malformation have been described previously [3,4], The first was per formed at 34 and 36 weeks gestation with 50 ml removed at each aspiration. Fluid rap idly reaccumulated within 16 h. The infant was born vaginally at 37 weeks gestation and did well following immediate thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Reports describing the natural history of these fetal lung disorders have only recently become available following the introduction of high resolution ultrasound [2][3][4][5]. A range or outcomes have been described which indi cates that fetal intervention should be used selectively, to improve the outcome in those that otherwise would have a limited progno sis.…”

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confidence: 99%

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Intrauterine Thoracentesis of Fetal Cystic Lung Malformations

Kyle¹,

Lange²,

Menticoglou³

et al. 1994

Fetal Diagn Ther

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Fetal pulmonary malformations comprise a rare but often lethal group of congenital anomalies. Until recently, diagnosis and therapy were directed postnatally and therefore some cases of fetal compromise were inevitably missed. We present 2 cases in which intermittent thoracentesis of fetal cystic lung malformations resulted in a successful outcome. Intrauterine thoracentesis should be considered in the second and third trimester of pregnancy in cases which demonstrate early fetal compromise.

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Enteric cyst as a cause of nonimmune hydrops fetalis: Fetal thoracentesis with fluid analysis

Franzek

Strayer

Hull

et al. 1989

J of Clinical Ultrasound

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Cystic abnormalities of the fetal thoracic cavity visualized antenatally by ultrasonography can be due to a variety of anomalies including cystic adenomatoid malformation, pulmonary sequestration, bronchogenic cyst, and diaphragmatic hernia. The presence of these anomalies alone and/or the simultaneous accumulation of pleural fluid can impede lung development in the fetus. Therefore the detection and early treatment of these lesions can be crucial to fetal survival. We report the rare occurrence of an enteric cyst that presented in a fetus as a cystic intrathoracic lesion with associated hydrothorax and eventually fetal hydrops. In utero thoracentesis was performed for possible diagnostic and therapeutic indications, and analysis of the fluid obtained from the cyst prenatally and postnatally is reported. CASE REPORTA 20-year-old G2 PI Abl white female was referred to Indiana University Medical Center at 29% weeks gestation when an ultrasound examination, obtained because of a discrepancy between estimated fetal size and menstrual age, revealed fetal intrathoracic fluid. A highresolution ultrasound examination at 30 weeks to 31 weeks of menstrual age confirmed the presence of marked hydramnios and the complete echoluscency of the right hemithorax measuring 7.6 cm x 5.6 cm x 3.9 cm, consistent with hydrothorax or a large intrapulmonary cyst. There

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Antenatal diagnosis of pulmonary tumours: report of two cases

Cited by 18 publications

References 14 publications

Antenatal Diagnosis and Surgical Management of Congenital Cystic Adenomatoid Malformation of the Lung

Antenatal Diagnosis and Surgical Management of Congenital Cystic Adenomatoid Malformation of the Lung

Intrauterine Thoracentesis of Fetal Cystic Lung Malformations

Enteric cyst as a cause of nonimmune hydrops fetalis: Fetal thoracentesis with fluid analysis

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