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KMID : 1201620100030040159
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Journal of Women s Medicine
2010 Volume.3 No. 4 p.159 ~ p.162
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Postnatal spontaneous regression of a large, prenatally-diagnosed congenital cystic adenomatoid malformation: A case report
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Chung Ye-Won
Lee Jang-Hoon
Hong Soon-Cheol
Oh Min-Jeong
Kim Hai-Joong
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Abstract
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A congenital cystic adenomatoid malformation (CCAM) is a relatively rare developmental abnormality of the lung. Because of advances in antenatal sonography, CCAMs are increasingly diagnosed prenatally. The prognosis of CCAMs is variable, ranging from spontaneous in utero regression to perinatal death, and the optimal treatment modality for CCAMs based on size and type is not well-established yet. We managed a case of a large CCAM with a prominent mediastinal deviation. With serial sonographic evaluations, we managed the patient expectantly. At birth, the baby had no respiratory distress and had stable vital signs. Now the baby is 18 months old; a follow-up chest x-ray showed that the lung lesion had resolved. This case report shows the importance of conservative management with serial images when a CCAM is detected, and the possibility of spontaneous regression of a large CCAM lesion.
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KEYWORD
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Congenital cystic adenomatoid malformation, Mediastinal shifting, Prenatal diagnosis, Spontaneous regression
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