Congenital Parenchymal Lesions of the Lung
Increasing use of ultrasonography during pregnancy has uncovered a range of parenchymal lesions within the lung, some of which will, if left, be a cause of morbidity and occasional mortality. These include congenital cystic adenomatoid malformations (CCAM), bronchopulmonary sequestration (BPS), congenital lobar & segmental emphysema and bronchogenic cysts. Adverse antenatal features include mediastinal shift, caval obstruction, and (rarely) hydrops. This review aims to define current thoughts on these lesions and suggest appropriate management.
Keywords: Cystic adenomatoid malformation, bronchopulmonary sequestration, fetal hydrops, lobectomy, Congenital Parenchymal Lesions, segmental emphysema, bronchogenic cysts, embryological origins, mechanical compression, malignancy
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