Golaszewski T, Bettelheim D, Eppel W, Deutinger J, Bernaschek G
Department of Prenatal Diagnosis and Therapy, University of Vienna, Austria.
Gynecol Obstet Invest. 1998;46(4):241-6. doi: 10.1159/000010042.
To evaluate 14 cases of cystic adenomatoid malformation (CAM) of the lung with regard to antenatal management and fetal outcome.
Intrauterine shunts were placed in 3 fetuses to avoid pulmonary hypoplasia. Prenatal sonography showed that the lesions had a tendency to resolve in 4 cases. Of the 9 infants who survived, 5 were treated surgically (lobectomy).
The antenatal evolution of these lesions is highly variable; the lesions may even resolve spontaneously, therefore the diagnosis of CAM types II and III should be followed by a period of observation. Intrauterine drainage is recommended in cases of CAM type I if unfavorable prognostic factors are encountered.
评估14例肺囊性腺瘤样畸形（CAM）的产前管理及胎儿结局。
3例胎儿接受了宫内分流术以避免肺发育不全。产前超声检查显示4例病变有自行消退的趋势。9例存活婴儿中，5例接受了手术治疗（肺叶切除术）。
这些病变的产前演变差异很大；病变甚至可能自行消退，因此诊断为II型和III型CAM后应进行一段时间的观察。如果遇到不良预后因素，I型CAM病例建议进行宫内引流。
