The authors retrospectively analyzed the data of 16 cases terminated on medical grounds where cystic lung lesion was verified prior to or following the abortion. The purpose of the study was to evaluate the differences between prenatal sonographic appearance of cystic lung malformations and fetopathological findings after termination. On the average, prenatal diagnosis was established at the 21st gestational week (range, 19 to 26). The cause of termination in 4 cases was severe polyhydramnios, in 4 cases non-immune fetal hydrops, in 5 cases other congenital malformations (renal malformation- 2 cases, congenital diaphragmatic hernia- 3 cases), and in 3 cases other obstetric pathologies (intrauterine death, placental abruption, spontaneous abortion). In 11 cases congenital cystic adenomatoid malformation (CCAM) was the hypothesized prenatal diagnosis. Autopsy confirmed the prenatal diagnosis in 6, however in the remaining 5 cases, enteric cyst, laryngeal atresia, unidentified tumor, pulmonary hypoplasia and extralobar pulmonary sequestration were found upon histological examination. On the other hand, the autopsy could detect CCAM in those 5 cases where other malformations were presumed prenatally. Prenatal sonographic diagnosis of CCAM is not an easy task. Our cases emphasize the important role of embryology/fetopathology even today, in ascertaining the prenatal diagnosis based on sonographic examinations.
|Translated title of the contribution||Congenital cystic lung malformations in the second trimester: Prenatal ultrasound diagnosis and pathological findings|
|Number of pages||8|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Jun 14 2007|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology