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>> WHEN I WAS AROUND 17 WEEKS, I HAD MY FIRST ULTRASOUND.
EVERYTHING WAS NORMAL.
THEN ABOUT TWO WEEKS LATER I HAD STARTED HAVING CONTRACTIONS.
SO THEY DECIDED TO HAVE ME FOR A ULTRASOUND, A ECHO ULTRASOUND.
AND THERE WAS WHERE THEY DIAGNOSED ME WITH--
THE BABY HAVING A LUNG TUMOR.
>> WELL, WHEN YOU LOOK AT SORT OF HOW TO DEFINE LUNG LESIONS
THERE ARE THREE BASIC CATEGORIES.
ONE, IS THE MOST COMMON, CONGENITAL CYSTIC ADENOMATOID
MALFORMATION OF THE LUNG, CCAM FOR SHORT
BECAUSE IT'S A MOUTHFUL.
THAT'S A BENIGN LESION.
NO ONE KNOWS THE CAUSE.
IT'S NOT INHERITED.
IT'S A LUMP IN THE CHEST.
THOSE THAT HAVE A LARGE CYST ARE CALLED MACROCYSTIC LESIONS,
MACROCYSTIC CCAM'S.
THOSE WITH SMALL CYSTS THAT APPEAR SOLID BY ULTRASOUND
ARE CALLED MY MICROCYSTIC LESIONS.
>> THE WAY WE TREAT CCAMS REALLY DEPENDS ON HOW THEY PRESENT,
AND IT'S A DISEASE WITH A VERY BROAD SPECTRUM OF PRESENTATIONS.
IT CAN PRESENT AS A VERY SMALL MASS IN THE FETUS
OR IT CAN PRESENT AS A VERY LARGE MASS THAT CAUSES SIGNIFICANT
PROBLEMS FOR THE FETUS.
>> MANAGEMENT AND PROGNOSIS FOR THE BABY REFLECTS LARGELY
HOW BIG THE LUMP IS.
>> THE DOCTOR TELLS ME THAT THE BABY HAS A SMALL LESION IN LUNG
AND THAT HE'S REALLY NOT THAT CONCERNED ABOUT IT.
SO IT WAS A BIG RELIEF TO KNOW THAT MY BABY WAS GOING TO BE
OKAY AND THAT WASN'T REALLY A BIG DEAL,
AT LEAST AT THAT MOMENT.
>> THE SECOND CATEGORY IS PULMONARY SEQUESTRATION,
ALSO KNOWN AS BRONCHOPULMONARY SEQUESTRATION, BPS.
THAT'S LIKE AN EXTRA PIECE OF LUNG THAT DOESN'T FUNCTION,
TAKES UP SPACE.
WE CAN MAKE THAT DIAGNOSIS BEFORE BIRTH BY COLOR FLOW
DOPPLER ULTRASOUND THAT SHOWS AN ARTERIAL BLOOD VESSEL THAT FEEDS
THE MASS THAT COMES OFF THE AORTA.
YOU MAKE THAT DIAGNOSIS.
YOU KNOW IT'S A SEQUESTRATION.
>> SOME OF THEM ARE LARGE ENOUGH THAT WE NEED TO GOT A FEEL
FOR WHAT THEIR GROWTH PATTERN IS.
>> DEPENDING ON THE SIZE AND THE POSITION IN THE CHEST,
IT WILL PUSH VITAL ORGANS, EITHER THE HEART OR THE LUNG,
AND THEREFORE CAUSE SQUEEZING AND COMPRESSION.
>> THE THIRD CATEGORY IS A BLEND OF THE FIRST TWO.
IT'S A HYBRID LESION, A CCAM AND A SEQUESTRATION.
THAT'S WHERE YOU HAVE THE SONOGRAPHIC FINDING OF
THE ARTERIAL BLOOD VESSEL AS WELL AS THE HISTOLOGIC FINDING OF CYSTS
WITHIN THE LESION.
>> WHATEVER TYPE OF FETAL LUNG PROBLEM YOUR BABY HAS,
WE'RE GOING TO BE ABLE TO DIAGNOSE THAT AND LET YOU KNOW
WHICH PROBLEM IT IS AND THEN HOW BEST TO HANDLE IT.
.