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心包内畸胎瘤致胎儿死亡——病例报告

Intrapericardial teratoma as a cause of fetal death--a case report.

作者信息

Skálová H, Povýsil C

机构信息

Institute of Pathology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.

出版信息

Cesk Patol. 2011 Oct;47(4):189-91.

Abstract

Intrapericardial teratoma is a rare congenital tumor that without treatment leads to cardiac failure in either the prenatal or postnatal period. Early diagnosis and recent surgical advances can, in some cases, delay development of intrauterine symptoms and allow final treatment through a tumor resection. However, a large number of intrapericardial tumors go undetected during prenatal diagnostics, until they are found as a cause of intrauterine death or postnatal cardiorespiratory insufficiency, as in our case report. An abortion was induced in the 23rd gestational week because there was no cardiac activity detected during a routine ultrasound scan in a 35-year old woman. The tumor was found during the postmortem of the fetus.

摘要

心包内畸胎瘤是一种罕见的先天性肿瘤,若不治疗,会在产前或产后导致心力衰竭。早期诊断和近期的手术进展在某些情况下可延缓宫内症状的发展,并通过肿瘤切除实现最终治疗。然而,大量心包内肿瘤在产前诊断时未被发现,直到它们被发现是宫内死亡或产后心肺功能不全的原因,如我们的病例报告所示。一名35岁女性在常规超声扫描中未检测到心脏活动,因此在孕23周时引产。胎儿尸检时发现了肿瘤。

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