Shiraishi H, Nakamura M, Ichihashi K, Uchida A, Izumi A, Hyodoh H, Momoi M Y
Department of Pediatrics, Obstetrics and Gynecology, and Radiology, Jichi Medical School, Minamikawachi, Tochigi, Japan.
Prenat Diagn. 2000 Dec;20(12):1004-7. doi: 10.1002/1097-0223(200012)20:12<1004::aid-pd953>3.0.co;2-z.
We report a fetus with a giant neck hemangioma which was examined by MRI in utero. The initial diagnosis was made by ultrasonography. The sonolucent aspect of the mass, together with the presence of pulsating Doppler flow signals, was highly suggestive of a fetal hemangioma. In late pregnancy, fetal MRI revealed the location, size and characteristics of the neck tumor. Following prenatal corticosteroid treatment and premature delivery of the pregnancy due to fetal cardiac failure, the newborn received angiography and coil embolization of the tumor vessels. Despite vigorous treatments, the newborn died 12 h after birth. Evaluation of a fetal neck hemangioma by MRI is recommended late in pregnancy for precise information on the tumor and adjacent organs since the image is valuable for planning optimal perinatal treatment.
我们报告一例患有巨大颈部血管瘤的胎儿，其在子宫内接受了MRI检查。最初的诊断是通过超声检查做出的。肿块的无回声表现以及搏动性多普勒血流信号的存在，高度提示胎儿血管瘤。在妊娠晚期，胎儿MRI显示了颈部肿瘤的位置、大小和特征。由于胎儿心力衰竭，在产前皮质类固醇治疗后妊娠提前分娩，新生儿接受了肿瘤血管的血管造影和线圈栓塞。尽管进行了积极治疗，新生儿在出生后12小时死亡。建议在妊娠晚期通过MRI评估胎儿颈部血管瘤，以获取有关肿瘤和邻近器官的精确信息，因为该图像对于规划最佳围产期治疗很有价值。
