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  • Title: Cystic adenomatoid malformation of the lung causing hydrops fetalis: case report and review of the literature.
    Author: Schott S, Mackensen-Haen S, Wallwiener M, Meyberg-Solomayer G, Kagan KO.
    Journal: Arch Gynecol Obstet; 2009 Aug; 280(2):293-6. PubMed ID: 19099310.
    Abstract:
    OBJECTIVE: Fetal congenital cystic adenomatoid malformation (CCAM) is a rare lung abnormality with a highly variable prognosis depended on the presence of fetal hydrops and the size of the cysts. In case of fetal hydrops the prognosis is fatal without intervention. METHODS AND DESIGN: Case report and literature review. SETTING: We report on the ultrasound and pathological findings of a hydropic fetus due to a CCAM Type II at 22 weeks of gestation. CONCLUSIONS: Congenital cystic adenomatoid malformation is a rare fetal lung disease with an excellent prognosis in the absence of fetal hydrops. CCAM associated with fetal hydrops carries a grave prognosis but survival rates of 70% can be achieved by thoraco-amniotic drainage in those with macrocystic lesions.
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