title: [Congenital cystic lung malformations].
abstract: OBJECTIVE
  The aim of the study concerning congenital cystic lung malformations was to evaluate prenatal diagnoses postnatally to determine prognostic factors as well as to define optimized perinatal management.
  
  
  METHODS
  The study is based on 45 prenatal ultrasound examinations depicting fetal cystic lung lesions. 32 of the mothers had follow-up examinations. 5 pregnancies were terminated due to CCAM and additional malformations. Complete regression of the lesions was seen prenatally in 8 cases and postnatally in 5 children.
  
  
  RESULTS
  Surgical intervention due to respiratory insufficiency was necessary in 4 neonates. According to the imaging results, CCAM was present in 4 cases and sequestration in 7 patients. No correlation between the imaging findings and the surgical results was found in 3 children: One child suffered from rhadomyoid dysplasia, and in the case of the second child, a left-sided hernia of the diaphragm and additional sequestration were detected. The third child showed AV malformation. The cystic lesions of the 14 children operated upon were proven histologically. The degree of accuracy in the present study was high.
  
  
  CONCLUSIONS
  Precise perinatal management is warranted in order to determine according to the clinical relevance surgical intervention and to prevent complications after the first year of life. This is performed during the neonatal period for respiratory insufficient neonates and within the first year of life for clinically stable children.
authors.affiliation: Abteilung Pädiatrische Radiologie, Charite, Klinik für Strahlenheilkunde, Berlin. brigitte.stoever@charite.de
authors.forename: B
authors.initials: B
authors.lastname: Stöver
authors.forename: H
authors.initials: H
authors.lastname: Mau
authors.forename: I
authors.initials: I
authors.lastname: Scheer
authors.forename: C
authors.initials: C
authors.lastname: Bassir
authors.forename: R
authors.initials: R
authors.lastname: Chaoui
authors.forename: W
authors.initials: W
authors.lastname: Henrich
authors.forename: M
authors.initials: M
authors.lastname: Schwabe
authors.forename: R
authors.initials: R
authors.lastname: Wauer
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery; D001998:Bronchopulmonary Sequestration / Q000000981:diagnostic imaging* / Q000601:surgery; D015615:Cystic Adenomatoid Malformation of Lung, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008168:Lung / Q000000981:diagnostic imaging / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D011247:Pregnancy; D012075:Remission, Spontaneous; D012680:Sensitivity and Specificity; D015996:Survival Rate; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal