Can We Predict the Need for Postnatal Surgery in Patients with Prenatal Fetal Lung Masses Detected by CVR Value?
Journal of gynecology obstetrics and human reproduction(2023)
Abstract
Aim: The purpose of this study is to evaluate whether CPAM-volume ratio (CVR) can predict postnatal man-agement (follow up for resolution and surgical treatment) in fetuses with fetal lung masses in the prenatal period.Materials and Methods: 44 patients who presented at our center with prenatally diagnosed CPAM (Congenital Pulmonary Airway Malformation) and BPS (Bronchopulmonary Sequestration) were analyzed. Obstetric his-tory and outcomes, karyotype results, CVR, additional sonographic findings, characteristics of masses were recorded. CVR was calculated for all cases. I_n the study we sought to identify a CVR threshold and did not use the thresholds classically used in the literature.Results: 20 fetal BPS and 24 CPAM cases were analyzed. After excluding 5 patients, 46% of the patients were diagnosed with BPS and 54% with CPAM. I_n this study the cut off < 0,53 for CVR is taken, it predicts the no need for postnatal surgery with a sensitivity of 85% and a specificity of 88%. When we take the > 0,76 cut-off value for patients who will require emergency surgery within the first 10 days, it predicts the need for sur-gery with 90% sensitivity and 89% specificity. In addition, it was determined that all patients with mediastinal shift were operated.Conclusion: We believe that the CVR value and the presence of mediastinal shift should be evaluated in all cases of CPAM and BPS for prediction of the surgery. Proper counseling about the prognosis could be given to the family in cases with mediastinal shift and CVR value above 0,76.(c) 2022 Elsevier Masson SAS. All rights reserved.
MoreTranslated text
Key words
Bronchopulmonary sequestration,Congenital pulmonary airway malformation,CVR,Fetal lung masses,Prenatal ultrasound
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined