Wj. Sweeney et al., PRENATAL ULTRASOUND FINDINGS OF LINEAR NEVUS SEBACEOUS AND ITS ASSOCIATION WITH CYSTIC ADENOMATOID MALFORMATION OF THE LUNG, Obstetrics and gynecology, 83(5), 1994, pp. 860-862
Background: Nevus sebaceous is a congenital hamartomatous skin lesion
that is commonly associated with other abnormalities and is most frequ
ently located on the face and head. To our knowledge, there are no pre
vious reports of the ultrasonographic appearance of nevus sebaceous or
of an association with cystic adenomatoid malformation of the lung. C
ase: A patient was referred at 25 weeks' gestation with multiple fetal
anomalies, including echogenic soft-tissue structures external to the
cranium and face, a large right-side intrathoracic mass, and abdomina
l ascites. After a preterm delivery, nevus sebaceous and a congenital
cystic adenomatoid malformation of the lung were diagnosed. Neonatal d
eath occurred secondary to pulmonary hypoplasia. Conclusion: Nevus seb
aceous should be considered in the differential diagnosis when echogen
ic soft-tissue structures are seen on prenatal ultrasound. A detailed
ultrasound examination is warranted to rule out other associated abnor
malities.