Managing prenatally diagnosed asymptomatic congenital cystic adenomatoid malformation.

Pediatric Surgery International
Ryo SueyoshiAtsuyuki Yamataka

Abstract

To review our cases of congenital cystic adenomatoid malformation (CCAM) with special emphasis on the management of prenatally diagnosed asymptomatic CCAM (PDA-CCAM). A total of 42 consecutive CCAM patients treated between 1990 and 2008 at our institution and affiliated hospitals were divided into four groups, according to whether prenatal diagnosis was made [PD (+) or (-)], whether patients were symptomatic [S (+) or (-)], whether there was any increase in size observed radiologically [R (+) or (-)], and whether surgical resection was performed [X (+) or (-)], to give a symptomatic early surgery group diagnosed prenatally (group A; n = 15): PD (+), S (+), R (+), X (+); an asymptomatic early surgery group diagnosed prenatally (group B; n = 8): PD (+), S (-), R (-), X (+); a conservative observation group diagnosed prenatally (group C; n = 6): PD (+), S (-), R (-), X (-); and a symptomatic surgery group diagnosed postnatally (group D; n = 13): PD (-), S (+), R (unknown), X (+). Patient demographics, effects of surgical stress, histopathology, and outcome were compared between the four groups. Groups A and B had surgery as neonates and mean duration of post-operative follow-up has been 15.7 months for group A and 63.3 months for ...Continue Reading

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Citations

Mar 14, 2012·Pediatric Radiology·Richard A Barth
May 1, 2009·Pediatric Surgery International·A WongAndrew J A Holland
Jun 12, 2012·Clinics in Perinatology·Pramod S Puligandla, Jean-Martin Laberge
May 1, 2012·Revue des maladies respiratoires·A Hadchouel-DuvergéC Delacourt
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Apr 29, 2015·The Journal of Surgical Research·Amy E WagenaarJuan E Sola
Dec 17, 2014·Asian Cardiovascular & Thoracic Annals·Saulat Hasnain FatimiRanish Deedar Ali
Dec 22, 2017·The American Journal of Surgical Pathology·Jennifer PogorilerWilliam Peranteau
Apr 11, 2018·Pediatric Surgery International·Navot KantorAhmed Nasr
Jun 30, 2019·Frontiers in Pediatrics·Federica AnnunziataFrancesca Santamaria
Jun 9, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Ping AnYu Xiong
Sep 28, 2017·Journal of Pediatric Surgery·Francesca TocchioniAntonio Messineo

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