[Prenatal diagnosis of adenomatoid malformation of the lung. 5 cases and review of the literature].
The authors report five cases of adenomatoid malformation of the lung (AML) diagnosed in the antenatal period. Since 1977, when Stocker et al. published their classification of these malformations into three anatomical types, the ultrasonographic features have been well systematized, thereby enabling treatment to be modified according to the AML type. Type I and II have a good prognosis (about 20% of neonatal deaths) and only require close supervision. Thoracocentesis may be necessary in case of significant anasarca or hydramnios. The progression and prognosis of type III AML are very bad, since a favorable course is observed in only 10% of the foetuses. Intrauterine surgery has already been successfully attempted in on case and might modify the situation. Most authors are in favour of therapeutic abortion when signs of bad prognosis are present.
Salle
B
B
Service de Gynécologie et Obstétrique, Hôpital de la Croix-Rousse, Lyon.
Rebaud
A
A
Rudigoz
R C
RC
Mellier
G
G
D000328:Adult; D001034:Apgar Score; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000145:classification / Q000000981:diagnostic imaging*; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D016216:Ultrasonography, Prenatal
Diagnostic anténatal des malformations adénomatoïdes du poumon. Cinq observations et revue de la littérature.