新生儿心包内畸胎瘤 1 例。临床与病理观察。
A case of neonatal intrapericardial teratoma. Clinical and pathological findings.
机构信息
Neonatology and NICU Section, Department of Gynecology, Obstetrics and Neonatology, University of Bari, Bari, Italy.
出版信息
Acta Paediatr. 2011 Aug;100(8):e90-2. doi: 10.1111/j.1651-2227.2011.02190.x. Epub 2011 Mar 1.
AIM
It is of general agreement that complete surgical removal after birth of intrapericardial fetal teratomas is needed, because of the risk of severe cardiovascular and respiratory distress, related to the mass size, location and secondary pericardial effusion. Histological examination generally shows mature aspect of cells and tissues.
METHODS
We present a case of grade II immature pericardial teratoma, diagnosed in utero and completely removed after birth.
RESULTS
Even surgical removal was complete, histological aspects raised the need of long follow-up with serial alpha-fetoprotein determinations.
CONCLUSION
A neonatal grade II immature pericardial teratoma was completely removed after birth. The follow-up of the patient, until 10 months of life, was good with no recurrence of the disease.
目的
人们普遍认为，由于肿块大小、位置和继发性心包积液导致的严重心血管和呼吸窘迫的风险，出生后需要完全切除心包内胎儿畸胎瘤。组织学检查通常显示细胞和组织的成熟特征。
方法
我们报告了一例 II 级未成熟的心包畸胎瘤病例，该病例在宫内诊断，并在出生后完全切除。
结果
即使手术完全切除，组织学表现仍需要长期随访，并进行连续的甲胎蛋白检测。
结论
一名新生儿 II 级未成熟的心包畸胎瘤在出生后完全切除。患者的随访至 10 个月大时情况良好，无疾病复发。
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