Performance du diagnostic anténatal et évolution postnatale des malformations pulmonaires congénitales

Desseauve, David; Dugué-Maréchaud, M; Maurin, S.; Gatibelza, M.E.; Vequeau-Goua, Valérie; Mergy-Laurent, M.; Levard, G.; Pierre, Fabrice H.F.

doi:10.1016/j.gyobfe.2015.02.008

Cited by 6 publications

(2 citation statements)

References 29 publications

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“…The positive predictive value of the ultrasonography in the diagnosis of CPAM was found to be of 70.3% in our series, which may be evaluated as consistent with the previously published literature, which reports positive predictive values ranging between 57% and 90%. 20,21 The postnatal management of the babies with CPAM depends on the severity of problem-specific clinical symptoms and additional health conditions. Surgery is the only treatment modality in symptomatic cases, and it is recommended to prevent malignant transformation and potential complications such as recurrent pneumonia.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of Cases of Prenatally-Diagnosed Congenital Pulmonary Airway Malformation

Beksaç

Fadıloğlu

Ünal

et al. 2019

Rev Bras Ginecol Obstet

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Objective To evaluate the outcomes of cases of prenatally-diagnosed congenital pulmonary airway malformation (CPAM). Methods We retrospectively evaluated cases of prenatally-diagnosed CPAM between 2004 and 2018. Ultrasonographic features such as visualization of a fetal lung mass and heterogeneous pulmonary parenchyma were used for CPAM diagnosis. Prenatal and postnatal findings were compared in terms of accuracy regarding the CPAM diagnosis. Results The sample consisted of 27 cases. There were four cases in which the patients opted for the termination of pregnancy due to the severity of the lesion. A total of 23 neonates were delivered, and CPAM was confirmed in 15 cases. The median gestational age at delivery was 37 weeks (28–40 weeks) and the mean birth weight was 2,776 g. There were two neonatal deaths, one due to pneumothorax, and the other due to hypoplastic left heart syndrome (HLHS). A total of five patients with respiratory problems were operated in the postpartum period. There were eight misdiagnosis: bronchopulmonary sequestration (five cases), congenital lobar emphysema (two cases), and congenital diaphragm hernia (one case). Conclusion A precise postnatal diagnosis is very important to organize the proper management of the pregnancies with fetuses with CPAM. The positive predictive value of the prenatal diagnosis of CPAM via ultrasonography is of 70.3%. The differential diagnosis of CPAM may be prolonged to the postpartum period in some cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Outcomes of Cases of Prenatally-Diagnosed Congenital Pulmonary Airway Malformation

Beksaç

Fadıloğlu

Ünal

et al. 2019

Rev Bras Ginecol Obstet

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Congenital pulmonary airway malformations: state-of-the-art review for pediatrician’s use

et al. 2017

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Surgery remains the cornerstone treatment of symptomatic lesions but the postnatal management of asymptomatic CPAM remains controversial. There are pros and cons of surgical resection, as increasing rate of infections over time renders the surgery more difficult after months or years of evolution, as well as risk of malignancy, though exact incidence is still unknown. What is known: • Congenital pulmonary airway malformations (CPAM) are rare developmental lung malformations mainly antenatally diagnosed. • While the neonatal management of symptomatic CPAM is clear and includes prompt surgery, controversies remain for asymptomatic CPAM due to risk of infections and malignancies. What is new: • Increased rate of infection over time renders the surgery more difficult after months or years of evolution and pushes for recommendation of early elective surgery. • New molecular or pathological pathways may help in the distinction of type 4 CPAM from type I pleuropulmonary blastoma.

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Pathologie thoracique

Vaast¹,

Bourgeot²,

Coulon³

et al. 2021

Échographie en Pratique Obstétricale

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Performance du diagnostic anténatal et évolution postnatale des malformations pulmonaires congénitales

Cited by 6 publications

References 29 publications

Outcomes of Cases of Prenatally-Diagnosed Congenital Pulmonary Airway Malformation

Outcomes of Cases of Prenatally-Diagnosed Congenital Pulmonary Airway Malformation

Congenital pulmonary airway malformations: state-of-the-art review for pediatrician’s use

Pathologie thoracique

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