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胎儿骶尾部畸胎瘤的早期诊断:一例报告

Early diagnosis of fetal sacrococcygeal teratoma: a case report.

作者信息

Sun Der-Ji, Lee Jau-Nan, Long Cheng-Yu, Tsai Eing-Mei

机构信息

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2003 Jun;19(6):313-6. doi: 10.1016/S1607-551X(09)70478-4.

Abstract

Sacrococcygeal teratoma is a rare fetal neoplasm with an incidence of 1 in 40,000 births. Antenatal diagnosis is usually made after 22 weeks of gestation. Fetuses with this malformation are at risk of significant perinatal morbidity and mortality. Malignant components, coexisting with life-threatening anomalies, and chromosomal abnormalities are rare. Postulated causes of perinatal death include hydrops, dystocia, tumor rupture, preterm labor secondary to polyhydramnios, and anemia due either to hemorrhage or hemolysis within the tumor. Herein, we present a case of fetal sacrococcygeal teratoma diagnosed as early as 17 weeks of gestation.

摘要

骶尾部畸胎瘤是一种罕见的胎儿肿瘤,发病率为40000例出生中1例。产前诊断通常在妊娠22周后作出。患有这种畸形的胎儿有围产期严重发病和死亡的风险。恶性成分、与危及生命的异常并存以及染色体异常均罕见。围产期死亡的推测原因包括水肿、难产、肿瘤破裂、羊水过多继发的早产以及肿瘤内出血或溶血导致的贫血。在此,我们报告一例早在妊娠17周时就被诊断出的胎儿骶尾部畸胎瘤病例。

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本文引用的文献

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Sacrococcygeal teratomas: a review of 68 cases.骶尾部畸胎瘤:68例病例回顾
Cancer. 1981 Jul 1;48(1):217-21. doi: 10.1002/1097-0142(19810701)48:1<217::aid-cncr2820480135>3.0.co;2-r.
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Sacrococcygeal teratoma: prenatal diagnosis and management.
Am J Obstet Gynecol. 1987 Feb;156(2):393-6. doi: 10.1016/0002-9378(87)90290-0.
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Fetal sacrococcygeal teratoma.胎儿骶尾部畸胎瘤。
J Pediatr Surg. 1986 Jul;21(7):563-6. doi: 10.1016/s0022-3468(86)80404-3.
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Fetal sacrococcygeal teratoma.胎儿骶尾部畸胎瘤。
Fetal Ther. 1987;2(2):95-100. doi: 10.1159/000263290.
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