DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS

Objective. To present the diagnosis of and treatment policy for severe cystic adenomatoid malformation (CAM) of the lung in newborn infants, allowing one to rule out a fatal outcome and to ensure good quality of life in the future. Material and methods. The authors describe their own 12 clinical cas...

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Main Authors: N. A. Il’ina, S. A. Karavaeva, T. V. Patrikeeva
Format: Article
Language:English
Published: Luchevaya Diagnostika, LLC 2017-07-01
Series:Вестник рентгенологии и радиологии
Subjects:
Online Access:https://www.russianradiology.ru/jour/article/view/231
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author N. A. Il’ina
S. A. Karavaeva
T. V. Patrikeeva
author_facet N. A. Il’ina
S. A. Karavaeva
T. V. Patrikeeva
author_sort N. A. Il’ina
collection DOAJ
description Objective. To present the diagnosis of and treatment policy for severe cystic adenomatoid malformation (CAM) of the lung in newborn infants, allowing one to rule out a fatal outcome and to ensure good quality of life in the future. Material and methods. The authors describe their own 12 clinical cases in newborn infants with the histologically verified diagnosis of type 1 CAM with a pronounced mass effect, as well as pregnancy management tactics, the time and algorithm of postnatal radiation examination, a treatment method and give long-term results. Results. The traced long-term results are predominantly good (77.8%); there are no poor outcomes or mortality in this patient group. Conclusion. The prognosis for life in severe forms of CAM with a high risk of antepartum fetal demise can be favorable if there is a correct pregnancy management tactics, early examination, and surgical treatment. Computed tomography and computed tomographic angiography are main postnatal diagnostic techniques that determine the further tactics of a neonatal surgeon. Emergency surgery is indicated after the diagnosis of type 1 CAM with a pronounced mass effect is confirmed.
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spelling doaj.art-f808a90036b94387a8a623f7d7792c862025-02-21T12:05:27ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782017-07-0198313514210.20862/0042-4676-2017-98-3-135-142175DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTSN. A. Il’ina0S. A. Karavaeva1T. V. Patrikeeva2Children’s City Hospital № 1; I.I. Mechnikov North-Western State Medical University, Ministry of Health of the RussiaChildren’s City Hospital № 1; I.I. Mechnikov North-Western State Medical University, Ministry of Health of the RussiaChildren’s City Hospital № 1Objective. To present the diagnosis of and treatment policy for severe cystic adenomatoid malformation (CAM) of the lung in newborn infants, allowing one to rule out a fatal outcome and to ensure good quality of life in the future. Material and methods. The authors describe their own 12 clinical cases in newborn infants with the histologically verified diagnosis of type 1 CAM with a pronounced mass effect, as well as pregnancy management tactics, the time and algorithm of postnatal radiation examination, a treatment method and give long-term results. Results. The traced long-term results are predominantly good (77.8%); there are no poor outcomes or mortality in this patient group. Conclusion. The prognosis for life in severe forms of CAM with a high risk of antepartum fetal demise can be favorable if there is a correct pregnancy management tactics, early examination, and surgical treatment. Computed tomography and computed tomographic angiography are main postnatal diagnostic techniques that determine the further tactics of a neonatal surgeon. Emergency surgery is indicated after the diagnosis of type 1 CAM with a pronounced mass effect is confirmed.https://www.russianradiology.ru/jour/article/view/231newborn infantslung malformationscystic adenomatoid malformation of the lungmultislice computed tomography
spellingShingle N. A. Il’ina
S. A. Karavaeva
T. V. Patrikeeva
DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS
Вестник рентгенологии и радиологии
newborn infants
lung malformations
cystic adenomatoid malformation of the lung
multislice computed tomography
title DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS
title_full DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS
title_fullStr DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS
title_full_unstemmed DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS
title_short DIAGNOSIS AND TREATMENT POLICY FOR SEVERE CONGENITAL CYSTIC ADENOMATOID MALFORMATION OF THE LUNG IN NEWBORN INFANTS
title_sort diagnosis and treatment policy for severe congenital cystic adenomatoid malformation of the lung in newborn infants
topic newborn infants
lung malformations
cystic adenomatoid malformation of the lung
multislice computed tomography
url https://www.russianradiology.ru/jour/article/view/231
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AT tvpatrikeeva diagnosisandtreatmentpolicyforseverecongenitalcysticadenomatoidmalformationofthelunginnewborninfants