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新生儿气道梗阻罕见病因的管理:颈部畸胎瘤。

Management of a rare cause of neonatal airway obstruction: cervical teratoma.

作者信息

Sayan Ali, Karaçay Safak, Bayol Umit, Arikan Ahmet

出版信息

J Perinat Med. 2007;35(3):255-6. doi: 10.1515/JPM.2007.046.

Abstract

Cervical teratomas are rare tumors during the prenatal period. Cervical teratomas account for 1.5-5.5% of all pediatric teratomas. Both mortality and morbidity are significantly high because of airway obstruction due to a mass effect of the tumor although good results are achieved with total excision of the mass. Antenatal diagnosis by routine ultrasound (US) screening helps in preparing a team to provide airway support and surgery. We present two cases of cervical teratomas with total excision and cure and a postmortem study from our pathology laboratory. The third case, the female infant who died soon after birth, demonstrates the paramount importance of antenatal diagnosis.

摘要

颈部畸胎瘤是产前时期罕见的肿瘤。颈部畸胎瘤占所有儿科畸胎瘤的1.5 - 5.5%。尽管肿瘤完整切除后效果良好,但由于肿瘤的占位效应导致气道阻塞,死亡率和发病率都显著较高。通过常规超声(US)筛查进行产前诊断有助于组建一个团队以提供气道支持和实施手术。我们呈现两例颈部畸胎瘤完整切除并治愈的病例以及来自我们病理实验室的一份尸检研究。第三例,即出生后不久死亡的女婴,证明了产前诊断的至关重要性。

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