TYK373

A cystic mass is noted on fetal ultrasound at the 20-week prenatal visit, and the likely diagnosis is determined to be CCAM/CPAM. The lesion is moderate in size, and not compressing adjacent structures. The most appropriate course of action is which of the following:

a) Perform fetal surgery because of the likelihood of lesion expansion in utero

b) Recommend termination of the pregnancy given the high probability of severe associated anomalies

c) Provide reassurance only

d) Plan for postnatal resection (regardless of symptoms) given the high risk of future malignant transformation

e) Perform serial ultrasounds given the high risk of airway compression and hydrops fetalis

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Answer

Answer d. CPAMs tend to regress in utero, though if still present postnatally, resection is usually advised due to the risk for infection and future malignant transformation.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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