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Revista Cubana de Obstetricia y Ginecología

ISSN 1561-3062 (Electronic)
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2012, Number 3

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Revista Cubana de Obstetricia y Ginecología 2012; 38 (3)

Pulmonary cystic adenomatoid malformation

Peña CAL, Pardo MM, Quesada AE, Argüelles MTA
Full text How to cite this article

Language: Spanish
References: 10
Page:
PDF size: 80.78 Kb.


Key words:

cystic adenomatoid malformation, hydrothorax, ascites, polyhydramnios.

ABSTRACT

Introduction: congenital cystic adenomatoid malformation of the lung described by Bartholinuis in 1687 is a rare entity characterized by an overgrowth of the main terminal bronchioles which replaced the alveoli, causing enlargement of the affected lobe.
Objective: to show the autopsy findings of a case of congenital cystic adenomatoid malformation of the lung, using the classification proposed by Stocker and others.
Methods: literature review on organizational and medical records of pregnant women is conducted.
Results: this is a twenty- one year- old pregnant woman who goes to the Gynecobstetric Teaching Hospital of Guanabacoa in February 2010 for termination of pregnancy since an ultrasound at 24 weeks showed the presence of lung cysts, mediastinal shift, hydrothorax, ascites, and polyhydramnios. This approach was successful and the pathology study of the fetus was performed.
Conclusions: type III cystic adenomatoid lung malformation was diagnosed in early gestation, which is a rare lung disorder. This situation allowed informed decision for termination of pregnancy.


REFERENCES

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  2. Saldana, Mario J. Pathology of Pulmonary Disease. Philadelphia: J.B. Lippincott Company; 1994. p. 79-82.

  3. Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung: classification and morphologic spectrum. Hum Pathol. 1977:81171.

  4. Fanaroff Abroy A, Martín Richard J. Enfermedades del feto y del recién nacido. La Habana: Editorial Científico-Técnica; 1985. p. 558.

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  7. Van Leeuwen K, Teitelbaum D H, Hirschl R B. Prenatal diagnosis of congenital cystic adenomatoid malformation and its postnatal presentation, surgical indications and natural history. J Pediatr Surg. 1999;34:794-8.

  8. D'Agostino S, Bonoldi E, Dante S. Embryonal rhabdomyosarcoma of the lung arising in cystic adenomatoid malformation: case report and review of the literature. J Pediatr Surg. 1997;32:1381-3.

  9. Granata C, Gambini C, Balducci T. Bronchioloalveolar carcinoma arising in congenital cystic adenomatoid malformation in a child: a case report and review on malignancies originating in congenital cystic adenomatoid malformation. Pediatr Pulmonol. 1998;25:62-6.

  10. Giardikis S, Didilis V, Polychronidis A. Spontaneous pneumothorax resulting from congenital cystic adenomatoid malformation in a preterm infant: case report and literature review. Eur J Pediatr Surg. 2002;12:195-8.




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Revista Cubana de Obstetricia y Ginecología. 2012;38