Malformación adenomatosa quística pulmonar
Diagnóstico prenatal y evolución de un caso
Palabras clave:
MALFORMACIÓN ADENOMATOIDE QUÍSTICA CONGÉNITA DEL PULMÓN, ULTRASONOGRAFÍA PRENATAL
Resumen
Se presenta el caso clínico de una mujer que cursa su segundo embarazo, donde se le diagnostica ecográficamente al feto una malformación adenomatosa quística pulmonar (MAQP), a las 19 semanas.
La evolución del embarazo fue sin complicaciones, llegando a término y sin requerir tratamientos intrauterinos ni estudios especiales.
El recién nacido fue dado de alta con buena evolución y asintomático.
Dado lo infrecuente de la enfermedad, así como su evolución y los pocos casos de diagnóstico prenatal reportados, se decide su presentación.
Citas
1) Adzick NS, Harrison MR, Glick PL, Golbus MS, Anderson RL, Mahony BS, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg 1985; 20(5): 483-8.
2) Bruner JP, Jarnagin BK, Reinisch L. Fetal congenital cystic adenomatoid malformation of the lung. Fetal diagn Ther 2000; 15(6): 359-63.
3) Cha I, Adzick NS, Harrison MR, Finkbeiner WE. Fetal congenital cystic adenomatoid malformation of the lung: a clinic pathologic study of eleven cases. Am J Surg Pathol 1997; 21(5): 537-44.
4) Merkus PJ, ten-Have-Opbroek AA, Quanjer PH. Human lung growth: a review. Pediatr Pulmonol 1996; 21(6): 383-97.
5) Garret WJ, Kossoff G, Lawrence R. Gray scale echography in the diagnosis of hydrops due to fetal lung tumor. J Clin Ultrasound 1975; 3(1): 45-50.
6) Pezzuti RT, Isler RJ. Antenatal ultrasound detection of cystic adenomatoid malformation of lung. Report of a case and review of the recent literature. J Clin Ultrasound 1983; 11(6): 342-6.
7) Adzick NS, Harrison MR, Glick PL, Golbus MS, Anderson RL, Mahony BS, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg 1985; 20(5): 483-8.
8) Ch’in KY, Tang MY. Congenital adenomatoid malformation of one lobe of a lung with general anasarca. Arch Pathol 1949; 48: 155-71.
9) Sauerbrei E. Lung sequestration. Duplex Doppler diagnosis at 19 weeks gestation. J Ultrasound Med 1991; 10(2): 101-5.
10) Bromley B, Parad R, Estroff JA, Benacerraf BR. Fetal lung masses: prenatal course and outcome. J Ultrasound Med 1995; 14(12): 927-36; quiz p1378.
11) Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Hum Pathol 1977; 8(2): 155-71.
12) Bruner JP, Jarnagin BK, Reinisch L. Fetal congenital cystic adenomatoid malformation of the lung. Fetal Diagn Ther 2000; 15(6): 359-63.
13) Thorpe-Beeston JG, Nicolaides KH. Cystic adenomatoid malformation of the lung: prenatal diagnosis and outcome. Prenat Diagn 1994; 14(8): 677-88.
14) Dommergues M, Louis-Sylvestre C, Mandelbrot L, Aubry MC, Revillon Y, Jarreau PH, et al. Congenital adenomatoid malformation of the lung: when is active fetal therapy indicated? Am J Obstet Gynecol 1997; 177(4): 953-8.
15) MacGillivray TE, Harrison MR, Goldstein RB, Adzick NS. Disappearing fetal lung lesions. J Pediatr Surg 1993; 28(10): 1321-4; discussion 1324-5.
16) Monni G, Paladini D, Ibba RM, Teodoro A, Zoppi MA, Lamberti A, et al. Prenatal ultrasound diagnosis of congenital cystic adenomatoid malformation of the lung: a report of 26 cases and review of the literature. Ultrasound Obstet Gynecol 2000; 16(2): 159-62.
17) Cha I, Adzick NS, Harrison MR, Finkbeiner WE. Fetal congenital cystic adenomatoid malformation of the lung: a clinicopathologic study of eleven cases. Am J Surg Pathol 1997; 21(5): 537-44.
18) Sheffield EA, Addis BJ, Corrin B, McCabe MM. Epithelial hyperplasia and malignant change in congenital lung cysts. J Clin Pathol 1987; 40(6): 612-4.
19) Ueda K, Gruppo R, Unger F, Martin L, Bove K. Rhabdomyosarcoma of lung arising in congenital cystic adenomatoid malformation. Cancer 1977; 40(1): 383-8.
20) Monni G, Paladini D, Ibba RM, Teodoro A, Zoppi MA, Lamberti A, et al. Prenatal ultrasound diagnosis of congenital cyst adenomatoid malformation of the lung: a report of 26 cases and review of the literature. Ultrasound Obstet Gynecol 2000; 16(2): 159-62.
21) Clark SL, Vitale DJ, Minton SD, Stoddard RA, Sabey PL. Successful fetal therapy for cystic adenomatoid malformation associated on the second-trimester hydrops. Am J Obstet Gynecol 1987; 157(2): 294-5.
22) Nugent CE, Hayashi RH, Rubin J. Prenatal treatment of type I congenital cystic adenomatoid malformation by intrauterine fetal thoracentesis. J Clin Ultrasound 1989; 17(9): 675-7.
23) Nicolaides KH, Blott M, Greenough A. Chronic drainage of fetal pulmonary cyst. Lancet 1987; 1(8533): 618.
24) Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ. Fetal lung lesions: management and outcome. Am J Obstet Gynecol 1998; 179(4): 884-9.
25) Mandelbrot L, Domergues MA, Aubry MS. Formations adenomatoides du poumon: facteurs pronostiques et indications thérapeutiques. Médicine Fetale 1992; 11: 15-6.
26) Stocker TJ, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung: classification and morphologic spectrum. Hum Pathol 1977; 8(2): 155-71.
27) Adzick NS. The Fetus with a Lung Mass. In: Harrison MR, Evans MI, Adzick NS. The unborn patient. Philadelphia: WB Saunders, 2001: 287-96.
28) Filler R, Forte V. Respiratory problem related to airway and luna. In: O’Neill J, Rowe M, Grosfeld J, Fonkalsrud E, Coran A, eds. Pediatric Surgery. 5 ed. Baltimore: Mosby, 1998: 873-97.
2) Bruner JP, Jarnagin BK, Reinisch L. Fetal congenital cystic adenomatoid malformation of the lung. Fetal diagn Ther 2000; 15(6): 359-63.
3) Cha I, Adzick NS, Harrison MR, Finkbeiner WE. Fetal congenital cystic adenomatoid malformation of the lung: a clinic pathologic study of eleven cases. Am J Surg Pathol 1997; 21(5): 537-44.
4) Merkus PJ, ten-Have-Opbroek AA, Quanjer PH. Human lung growth: a review. Pediatr Pulmonol 1996; 21(6): 383-97.
5) Garret WJ, Kossoff G, Lawrence R. Gray scale echography in the diagnosis of hydrops due to fetal lung tumor. J Clin Ultrasound 1975; 3(1): 45-50.
6) Pezzuti RT, Isler RJ. Antenatal ultrasound detection of cystic adenomatoid malformation of lung. Report of a case and review of the recent literature. J Clin Ultrasound 1983; 11(6): 342-6.
7) Adzick NS, Harrison MR, Glick PL, Golbus MS, Anderson RL, Mahony BS, et al. Fetal cystic adenomatoid malformation: prenatal diagnosis and natural history. J Pediatr Surg 1985; 20(5): 483-8.
8) Ch’in KY, Tang MY. Congenital adenomatoid malformation of one lobe of a lung with general anasarca. Arch Pathol 1949; 48: 155-71.
9) Sauerbrei E. Lung sequestration. Duplex Doppler diagnosis at 19 weeks gestation. J Ultrasound Med 1991; 10(2): 101-5.
10) Bromley B, Parad R, Estroff JA, Benacerraf BR. Fetal lung masses: prenatal course and outcome. J Ultrasound Med 1995; 14(12): 927-36; quiz p1378.
11) Stocker JT, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Hum Pathol 1977; 8(2): 155-71.
12) Bruner JP, Jarnagin BK, Reinisch L. Fetal congenital cystic adenomatoid malformation of the lung. Fetal Diagn Ther 2000; 15(6): 359-63.
13) Thorpe-Beeston JG, Nicolaides KH. Cystic adenomatoid malformation of the lung: prenatal diagnosis and outcome. Prenat Diagn 1994; 14(8): 677-88.
14) Dommergues M, Louis-Sylvestre C, Mandelbrot L, Aubry MC, Revillon Y, Jarreau PH, et al. Congenital adenomatoid malformation of the lung: when is active fetal therapy indicated? Am J Obstet Gynecol 1997; 177(4): 953-8.
15) MacGillivray TE, Harrison MR, Goldstein RB, Adzick NS. Disappearing fetal lung lesions. J Pediatr Surg 1993; 28(10): 1321-4; discussion 1324-5.
16) Monni G, Paladini D, Ibba RM, Teodoro A, Zoppi MA, Lamberti A, et al. Prenatal ultrasound diagnosis of congenital cystic adenomatoid malformation of the lung: a report of 26 cases and review of the literature. Ultrasound Obstet Gynecol 2000; 16(2): 159-62.
17) Cha I, Adzick NS, Harrison MR, Finkbeiner WE. Fetal congenital cystic adenomatoid malformation of the lung: a clinicopathologic study of eleven cases. Am J Surg Pathol 1997; 21(5): 537-44.
18) Sheffield EA, Addis BJ, Corrin B, McCabe MM. Epithelial hyperplasia and malignant change in congenital lung cysts. J Clin Pathol 1987; 40(6): 612-4.
19) Ueda K, Gruppo R, Unger F, Martin L, Bove K. Rhabdomyosarcoma of lung arising in congenital cystic adenomatoid malformation. Cancer 1977; 40(1): 383-8.
20) Monni G, Paladini D, Ibba RM, Teodoro A, Zoppi MA, Lamberti A, et al. Prenatal ultrasound diagnosis of congenital cyst adenomatoid malformation of the lung: a report of 26 cases and review of the literature. Ultrasound Obstet Gynecol 2000; 16(2): 159-62.
21) Clark SL, Vitale DJ, Minton SD, Stoddard RA, Sabey PL. Successful fetal therapy for cystic adenomatoid malformation associated on the second-trimester hydrops. Am J Obstet Gynecol 1987; 157(2): 294-5.
22) Nugent CE, Hayashi RH, Rubin J. Prenatal treatment of type I congenital cystic adenomatoid malformation by intrauterine fetal thoracentesis. J Clin Ultrasound 1989; 17(9): 675-7.
23) Nicolaides KH, Blott M, Greenough A. Chronic drainage of fetal pulmonary cyst. Lancet 1987; 1(8533): 618.
24) Adzick NS, Harrison MR, Crombleholme TM, Flake AW, Howell LJ. Fetal lung lesions: management and outcome. Am J Obstet Gynecol 1998; 179(4): 884-9.
25) Mandelbrot L, Domergues MA, Aubry MS. Formations adenomatoides du poumon: facteurs pronostiques et indications thérapeutiques. Médicine Fetale 1992; 11: 15-6.
26) Stocker TJ, Madewell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung: classification and morphologic spectrum. Hum Pathol 1977; 8(2): 155-71.
27) Adzick NS. The Fetus with a Lung Mass. In: Harrison MR, Evans MI, Adzick NS. The unborn patient. Philadelphia: WB Saunders, 2001: 287-96.
28) Filler R, Forte V. Respiratory problem related to airway and luna. In: O’Neill J, Rowe M, Grosfeld J, Fonkalsrud E, Coran A, eds. Pediatric Surgery. 5 ed. Baltimore: Mosby, 1998: 873-97.
Publicado
2005-06-30
Cómo citar
1.
De Agostini Cicognani M, Levy Mizraji R. Malformación adenomatosa quística pulmonar. Rev. Méd. Urug. [Internet]. 30 de junio de 2005 [citado 17 de noviembre de 2024];21(2):159-63. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/819
Sección
Casos Clínicos
