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>> IT'S IMPORTANT THAT WE, "NAIL THE DIAGNOSIS".
WE NEED TO BE VERY SURE THAT WE KNOW WHAT WE'RE DEALING WITH
TO BE ABLE TO CORRECTLY COUNSEL YOU.
>> IT'S REALLY THE SIZE, THE VOLUME OF THE MASS,
RELATIVE TO THE SIZE OF THE FETUS, THAT PLACES THE FETUS
IN A PARTICULAR CATEGORY OF RISK.
>> AND THESE MEASUREMENTS HERE WILL GIVE US AN ESTIMATED FETAL
WEIGHT OF THIS BABY, SO THAT'S ONE OF THE THINGS--
>> WE HAVE WAYS TO MEASURE THE SIZE,
PARTICULARLY ON SONOGRAPHY, BY DOING A VOLUME CALCULATION.
>> THE CCAM VOLUME RATIO; IT'S BASICALLY THE VOLUME
OF THE TUMOR OVER THE HEAD CIRCUMFERENCE OF THE FETUS.
>> WE WANT TO KNOW THE SIZE OF THE LUMP IN RELATION
TO THE RAPIDLY GROWING FETUS AND WITH THAT WE CAN GIVE
PROGNOSTIC INFORMATION TO THE FAMILY.
>> SO THIS IS THE RIGHT LUNG AND THIS IS THE LEFT LUNG WAY UP THERE
BY THE APEX OF THE CHEST, THE HEART THERE.
>> YOU'RE GOING TO KNOW EXACTLY WHAT YOU'RE DEALING WITH
IN TERMS OF THE FETAL LUNG PROBLEM AT THE END OF THE DAY,
AT THE END OF YOUR EVALUATION.
ONCE YOU UNDERGO ALL THESE TESTS,
WE'LL SIT DOWN IN OUR MULTIDISCIPLINARY GROUP WHICH
IS USUALLY THE PEDIATRIC SURGEON, THE HIGH-RISK OBSTETRICIAN,
THE GENETIC COUNSELOR, AN ADVANCED PRACTICE NURSE,
PERHAPS A SOCIAL WORKER, AND WE'RE GOING TO GO THROUGH
EACH ONE OF THOSE TESTS WITH YOU, WHAT IT MEANS.
AND THEN WE'RE GOING TO OUTLINE WHAT THE OPTIONS ARE
FOR THE PREGNANCY DEPENDING UPON THE RESULTS OF ALL THOSE TESTS.