Hyperechoic congenital lung lesions in a non‐selected population: from prenatal detection till perinatal management

Lecomte, Bénédicte; Hadden, Hélène; Coste, Karen; Gallot, Denis; Laurichesse, Hélène; Lémery, D.; Scheye, T; Déchelotte, P.; Labbé, A.

doi:10.1002/pd.2407

Cited by 20 publications

(8 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The differential diagnosis includes bronchopulmonary sequestration, bronchogenic cyst, neurenteric cysts, congenital lobar emphysema, and diaphragmatic hernia [11, 15]. …”

Section: Discussionmentioning

confidence: 99%

Congenital Cystic Adenomatoid Malformation: Is There a Need for Pregnancy Termination?

Iavazzo

Eleftheriades

Bacanu

et al. 2012

Case Reports in Medicine

View full text Add to dashboard Cite

Aim. Congenital cystic adenomatoid lung malformation is a rare unilateral dysplasia of the lung. Three pathologic types are described in the literature: type I with cysts >2 cm, type II with cysts <1 cm, and type III with microcysts. The aim of this paper is to present a case of a fetus with congenital cystic adenomatoid lung malformation and discuss the necessity for pregnancy termination according to its prognosis and future mortality. Case. A 36-year-old pregnant woman (para: 1, gravida: 1) presented in our department for anatomy ultrasound screening at 20 + 1 weeks of gestation. The ultrasound detected a cystic adenomatoid right lung malformation measuring 1.45 × 1.67 cm which caused mediastinal shift of the heart and the lung to the left side. Other findings were cysts of the choroid plexus and echogenic intracardiac foci. The parents after genetic counseling decided pregnancy termination. The pregnant received cabergoline for ablactation. Conclusion. Congenital cystic adenomatoid lung malformation has different prognosis according to the type (69% in type I, 0% in types II and III). Fetal hydrops, cardiac and skeletal anomalies, Potter's syndrome, and gastrointestinal atresia are common cofindings. Genetic counseling is necessary, and pregnancy termination is proposed to the cases with poor prognosis.

show abstract

“…The differential diagnosis includes bronchopulmonary sequestration, bronchogenic cyst, neurenteric cysts, congenital lobar emphysema, and diaphragmatic hernia [11, 15]. …”

Section: Discussionmentioning

confidence: 99%

Congenital Cystic Adenomatoid Malformation: Is There a Need for Pregnancy Termination?

Iavazzo

Eleftheriades

Bacanu

et al. 2012

Case Reports in Medicine

View full text Add to dashboard Cite

show abstract

“…However, Lecomte et al, in a longitudinal study with 14 fetuses with hyperechoic lung lesions, found one case of BC. 9 Cysts can enlarge during pregnancy with compression of the normal lung tissue and/or the hearth, causing lung hypoplasia, polyhydramnios, fetal hydrops and death. Fetal therapy of BC by ultrasound-guided percutaneous aspiration of the cyst or deployment of a thoracoamniotic shunt can be performed in a fetus of under 32 weeks gestation in the presence of hydrops and in selected cases of significant compression of the normal lung tissue, polyhydramnios or mediastinal shift.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic excision of asymptomatic antenatally diagnosed mediastinal bronchogenic cysts: A case report

et al. 2021

View full text Add to dashboard Cite

Bronchogenic Cysts (BCs) are benign congenital malformations commonly located in the mediastinum. In recent years the development of antenatal diagnosis has changed the BCs management allowing an earlier minimally invasive approach. We report a case of an asymptomatic 8-months-old girl with antenatal diagnosis of subcarinal posterior mediastinal BC. Thoracoscopic excision of the cyst was successfully performed. The management of antenatally diagnosed BCs is discussed. Thoracoscopic treatment of BCs is safe and effective with the advantage of a reduced morbidity compared to thoracotomy.

show abstract

“…However, Lecomte et al [6], in a longitudinal study with 14 fetuses with hyperechoic lung lesions, found one case of bronchogenic cyst. They conclude that a neonatal chest X-ray and CT should be realized in all cases of congenital lung lesions.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis and Postnatal Findings of Bronchogenic Cyst

Rios

Júnior

Nardozza

et al. 2013

Case Reports in Pulmonology

View full text Add to dashboard Cite

Bronchogenic cysts arise from abnormal buds from the primitive esophagus and tracheobronchial tree, which do not extend to the site where alveolar differentiation occurs. Bronchogenic cysts are typically unilocular mucus field lesions arising from posterior membranous wall of the air way. The prenatal diagnosis usually is realized by two-dimensional ultrasound showing the large unilocular cystic image in the chest fetus. The prenatal percutaneous aspiration can reduce the risk of heart compression and permit better respiratory conditions to newborn. We present a case of a primiparous pregnant 23 year-old-woman prenatal ultrasound showed a large unilocular cyst in the left hemithorax with compression of the normal left lung tissue and contralateral mediastinal shift. This cyst was percutaneously aspirated without subsequent reaccumulation of fluid. The newborn did not have respiratory distress and the computed tomography scan confirmed the finding of a fluid-filled cyst in the left chest. The chest X-ray showed the displacement of the heart and the mediastinum from the left to the right. The prenatal diagnosis of bronchogenic cyst is very important to assess the degree of the compression of the normal lung and the mediastinum shift. Furthermore, the prenatal diagnosis permits planning delivery in the tertiary hospital with multidisciplinary team because of the risk of respiratory distress.

show abstract

Hyperechoic congenital lung lesions in a non‐selected population: from prenatal detection till perinatal management

Abstract: HLL cover a wide spectrum of lung abnormalities of various severities. Post natal management should always include an early chest X-ray and CT scan to allow appropriate selection for surgery.

Cited by 20 publications

References 39 publications

Congenital Cystic Adenomatoid Malformation: Is There a Need for Pregnancy Termination?

Congenital Cystic Adenomatoid Malformation: Is There a Need for Pregnancy Termination?

Thoracoscopic excision of asymptomatic antenatally diagnosed mediastinal bronchogenic cysts: A case report

Prenatal Diagnosis and Postnatal Findings of Bronchogenic Cyst

Contact Info

Product

Resources

About