When a pregnant woman goes to the hospital for a check-up at 26 weeks, she may find multiple irregular dark areas in the fetus's right lung with relatively strong echoes. This may be diagnosed as CCAM. Many parents are very worried about this and don't know what to do. We are relatively clear about these things, so we have collected a lot of information and certification. So what should we do if fetal lung abscess occurs? Overview Fetal lung development is one of the decisive factors for survival after birth. Accurate prenatal diagnosis and evaluation of diseases that affect fetal lung development are very important. The most common diseases that affect fetal lung development include CCAM, Bronchopulmonary Sequestration (BPS), congenital diaphragmatic hernia and pleural effusion. The incidence of fetal CCAM accounts for approximately 25% of congenital lung lesions. two. Cause: CCAM is caused by excessive growth of the fetal terminal bronchi, forming a lesion with clear boundaries in the lung parenchyma, often involving part or all of a lobe, and can involve one or both sides of the lung parenchyma, and mediastinal shift may occur in 90%. The exact cause of CCAM is still unclear. The most common view is that CCAM is a hamartoma-like lesion, which is accompanied by excessive developmental abnormalities of one or more tissue components. CCAM may be caused by unknown factors during fetal lung bud development, which may hinder local lung development and lead to overgrowth of developed lung tissue. Chen HW summarized 16 cases of prenatally diagnosed fetal lung diseases, of which 8 cases (8/16) were CCAM, 5 cases (5/16) were BPS, and 3 cases (3/16) were mixed lesions of CCAM combined with BPS. The appearance of mixed lesions suggested that CCAM and BPS may have developed from the same original germ base. Moerman et al. found in the autopsy of 4 cases of CCAM that each case had segmental bronchial absence or atresia, providing further evidence for the hypothesis that bronchial atresia is the primary defect in the occurrence of CCAM. If the baby's lungs are swollen and show such symptoms, it is very likely that the lung function will be affected after birth. If nothing happens, the tissue will undergo compensatory expansion, which may not be a good thing over time. Therefore, in your case, we recommend termination of pregnancy. |
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