2022-05-04 12:22:09
A CCAM is a benign mass of abnormal lung tissue that replaces part of one lobe of a fetal lung. CCAMs can occur in either lung and are classified into three different types based on the size of the cyst or cysts.
The prognosis for most fetuses diagnosed with CCAMs is excellent, though the condition must be closely monitored. In a small percentage (approximately 10%) of cases, the CCAM can grow large enough to become life threatening during pregnancy. In those cases, the fetus may develop hydrops, a condition in which fluid is collected in the chest cavity signaling heart failure.
As mentioned the prognosis is usually optimal. Poor prognostic findings are hydrops fetalis, ascites, polyhydramnios, bilateral lung involvement, and a final lung-to-thorax transverse area ratio of less than 0.25 , or the cystic adenomatoid malformation volume ratio—which is defined as the estimated volume of the CCAM divided by head circumference—is used to predict prognosis. A ratio >1.6, leads to a poorer prognosis.
Genetic counseling is necessary and pregnancy termination is frequently wrongly proposed due to “poor prognosis.” ! The good prognosis could be explained by the fact that the cyst decreases in size in utero in the majority of cases.
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