Akcigerin kistik adenomatoid malformasyonu; olgu sunumu ve literatür taraması

Akciğerin konjenital kistik adenomatoid malformasyonu (KKAM) embriyonik farklılaşma anomalisi olarak normal akciğer dokusunun yerini değişik boyut ve sayıda kist-lerin alması ile ortaya çıkan nadir bir hastalıktır. Olguların % 80-85’i solunum sıkıntısı nedeni ile neonatal dönemde veya tekrarlayan solunum yolu enfeksiyonları nedeni ile iki yaşın altında görülür. Perinatal ultrasonog-rafi kullanımının başlaması ile intrauterin tanı konulan olguların sayısı artmıştır. 33 yaşındaki 18 haftalık gebeye yapılan rutin prenatal USG’de sol toraks içinde yerleşimli büyük kistik kitle (25x30 mm) tespit edildi. Eşlik eden başka patoloji izlenmedi. Prenatal ultrasonografi (USG) ile akciğerinde KKAM olduğu saptanan bir olgunun tanı ve tedavisini sunarak, bu nadir anomalinin tedavi prensiplerini tartışmaı amaçlaık.

Congenital cystic adenomatoid malformation of the lung; case report with review of literature

Congenital cystic adenomatoid malformation (CCAM) of the lung which occurs with various forms and numbers of cysts as embryonic differentiation abnormality, is a rare abnormality. In %80-85 of cases, respiratory distress occurs during the neonatal period or before the age of two years due to respiratory infection. Most patients with CCAM can be diagnosed with prenatal ultrasound. Here in we present 33-year-old woman who was evaluated by routine prenatal ultrasound at 18 weeks of gestation and who was found to have large cystic mass area measured 25x30 mm in left fetal thorax with no associated anomalies. We aimed to discuss management principles of this rare abnormality by presenting management and diagnosis of a case which was prenatally diagnosed by ultrasound as CCAM of the lung.

___

  • 1. Takeda S, Miyoshi S, Inoue M, Omori K, Okumura M, Yoon HE, Minami M, Matsuda H. Clinical spectrum of congenital cystic disease of the lung in children. Eur i Cardio-Thoracic Surgery 1999; ıs: 11- 7.
  • 2. Roggin KK, Breuer CK, Carr SR, Hansen K, Kurclıubasche AG, Wesselhoeft CW Ir, Tracy TF Ir, Luks FI. The unpredictable character of congenital cystic lung lesions. J Pediatr Surg 2000;35: soı-s.
  • 3. Cooke FN1 Blades B :Cystic disease of the lungs, J Thorac Surg. 1952 Iun;23: 546-69.
  • 4. May DA, Bartl RA, Yeager S, Nussbaum-Blask A, Bulas DI: Perinatal and postuatal chest sonography. Radiol Clin North Am 1993;31: 499-516.
  • 5. Revillon Y, Jan D, Plattner V, Dommergues M, Mandelbrot L, Dumez Y, et al. Congenital cystic adenomatoid malformation of the lung: prenatal management and prognosis. J Pediatr Surg 1993;28: 1009-11.
  • 6. Stocker JT, Madwell JE, Drake RM. Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 1977;8:155-71.
  • 7. May DA, Barth RA, Yeager S, Nussbaum- Blask A, Bulas DI. Perinatal and postnatal chest sonography. Radiol Clin North Am 1993;31: 499-516.
  • 8. Aziz D, Langer JC, Tuuha SE, Ryan G, Ein SH, Kim PC. Perinatally diagnosed asymptomatic congenital cystic adenomatoid malformation: To resect or not? Pediatr Surg 2004;39: 329-34.
  • 9. Wilson RD, Hedrict HL, Liechty KW, Flake AW, Jonhson MP, Bebbington M, et al. Cystic adenomatoid malformation of the lung: Review of genetics, prenatal diagnosis, and in utero treatment. Am J Med Genet A 2006;140: 151-5.
  • 10. Dahabreha J, Zisisa C, Vassilioub M, Arnogiannakic N. Congenital cystic adenomatoid malformation in an adult presenting as lung abscess. Eur J Cardio-Thorac Surg 2000;18: 720-3.
  • 11. Laberge JM, Flageole H, Pugash D, Khalife S, Blair G, Filiatrault D, et al. Outcome of the prenatally diagnosed congenital cystic adenomatoid lung malformation: a Canadian experience. Fetal Diagn Ther 2001;16: 178e86.
  • 12. Wilson RD, Baxter JK, Johnson MP, King M, Kasperski S, Crombleholme TM, et al. Thoracoamniotic shunts: fetal treatment of pleural effusions and congenital cystic adenomatoid malformations. Fetal Diagn Ther 2004;19: 413e20.
  • 13. Parikh D, Samuel M. Congenital cystic lung lesions: Is surgical Resection essential? Pediatr Pulmonol 2005;40: 533-7.
  • 14. Cacciari A, Ceccarelli PL, Pilu GL, Bianchini MA, Mordenti M, Gabrielli S, et al. A series of 17 cases of congenital cystic adenomatoid malformation of the lung: Management and outcome. Eur J Pediatr Surg 1997;7: 84-9.
  • 15. Sittig SE, Asay GF. Congenital cystic adenomatoid malformation in the newborn: Two case studies and review of the literature. Respir Care 2000;45: 1188-95.
  • 16. Sapin E, Lejeune V, Barbet JP, Carcicaburu E, Lewin F, Baron JM, et al. Congenital adenomatoid disease of the lung:prenatal diagnosis and perinatal management. Pediatr Surg Int 1997;12: 126-9.
  • 17. Chow PC, Lee SL, Tang MHY, Chan KL, Lee CP, Lam BC, et al: Management and outcome of antenatally diagnosed congenital cystic adenomatoid malformation of the lung. Hong Kong J Med 2007;13: 31-3-9.
  • 18. Parikh D, Samuel M: Pulmonary stabilisation followed by delayed surgery results in favourable outcome in congenital cystic lung lesions with pulmonary hypertension. Eur J Cardiothoracic Surg 2005;28: 607–10.
  • 19. Pai S, Eng HL, Lee SY, Hsiao CC, Huang WT, Huang SC: Rhabdomyosarcoma arising within congenital cystic adenomatoid malformation. Pediatr Blood Cancer 2005;45: 841–5.
  • 20. West D, Nicholson AG, Colquhoun I, Pollock J. Bronchioloalveolar carcinoma in congenital cystic adenomatoid malformation of lung. Ann Thorac Surg 2007;83: 687–9.
  • 21. Crombleholme TM, Coleman B, Hedrick H, Liechty K, Howell L, Flake AW, et al. Cystic adenomatoid malformation volume ratio predicts outcome in prenatally diagnosed cystic adenomatoid malformation of the lung. J Pediatr Surg 2002;37: 331e8.
Yeni Tıp Dergisi-Cover
  • ISSN: 1300-2317
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: -
Sayıdaki Diğer Makaleler

İzole sternum kırığı ile prezente olan primer hiperparatiroidizm olgusu

Feridun KARAKURT, Ayşe ÇARLIOĞLU, Recep AKGEDİK, Zeki YILDIRIM, Bülent BOZKURT, Ayşe IŞIK, Faruk TURGUT

Lamotrigine bağlı antikonvülzan hipersensitivite sendromu

Çiçek DURUSOY, Cevdet DOĞAN, Özgür AYDIN

Kronik hastalıklı çocukları olan ailelerin yaşam doyumlarının incelenmesi

Zeynep BAYKAN, ALİ BAYKAN, Melis NAÇAR

Evaluation of the use of human albumin solution in Gaziosmanpasa University Faculty of Medicine Hospital

Ümmügül ÜYETÜRK, Gül ÖZBEY, Uğur ÜYETÜRK, Çiğden Usul AFŞAR, Süleyman YÜCE

Elin püstüler hastalıkları

Evren SARIFAKIOĞLU

Pankreasta nadir görülen bir kitle: Müsinöz non-neoplastik kist

Yavuz ALBAYRAK, Fatih ALBAYRAK, İbrahim GELİNCİK, Serdar ASLAN

İntrasitoplazmik sperm enjeksiyonu uygulanan çiftlerde erkek yaşının fertilizasyon ve embriyo kalitesi üzerine etkisi

Elvan OK, Seda DOĞAN, Müge KOVALI, Erbil DOĞAN, Bülent GÜLEKLİ

Effects of fresh frozen plasma on hematologic parameters in open heart surgery

Mahmut Mustafa ULAŞ, Necmettin ÇOLAK, Kumral ERGÜN, Gökhan LAFÇI, HACI ALPER UZUN, ADNAN YALÇINKAYA, Ersin KADİROĞULLARI, Emre YAŞAR, Ömer Faruk ÇİÇEK, Kerim ÇAĞLI

Kanser tedavisinde curcuminin yeri

MERYEM AKPOLAT FERAH, Topçu Yeter TARLADAÇALIŞIR, YEŞİM HÜLYA UZ, MELİKE SAPMAZ METİN, GÜLNUR KIZILAY ÖZFİDAN

The relationship between serum lipid levels and benign prostatic hyperplasia

Ahmet GÖKÇE, Fatih Rüştü YALÇINKAYA, Mürsel DAVARCI, Mevlana Derya BALBAY