Nagy Gyula R, Neducsin Bence P, Lázár Levente, Stenczer Balázs, Csapó Zsolt, Rigó János
1st Department of Obstetrics and Gynecology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
J Obstet Gynaecol Res. 2012 Nov;38(11):1328-30. doi: 10.1111/j.1447-0756.2012.01865.x. Epub 2012 May 8.
Epignathus is a rare congenital orofacial teratoma. We present a case of a fast-growing tumor, where early prenatal diagnosis was made and where fetopathological examination revealed the reason of the remarkable ultrasonographic signs and underlined the expected poor prognosis. Ultrasonographic examination at 18 weeks' gestation showed that there was a growing tumor protruding from the fetus's mouth. The fetal stomach could not be seen and extreme polyhydramnios was also detected. After counseling, the couple opted for a termination of pregnancy. Fetopathological examination showed that the tumorosus mass was not only protruding from the mouth, but also inexplicably grew downwards, was connected to the hard palate and the periosteum of the vertebral corpus, making an airway and esophageal obstruction, causing the ultrasonographic findings. Postnatal treatment and surgical removal of this tumor seemed to be impossible. In case of an early detection of a fast-growing fetal epignathus, pregnancy termination should be considered.
上颌寄生胎是一种罕见的先天性口面部畸胎瘤。我们报告一例生长迅速的肿瘤病例，该病例在产前得到早期诊断，胎儿病理学检查揭示了显著超声征象的原因，并强调了预期的不良预后。妊娠18周时的超声检查显示，有一个从胎儿口腔突出的生长性肿瘤。未见到胎儿胃，还检测到严重羊水过多。咨询后，这对夫妇选择了终止妊娠。胎儿病理学检查显示，肿瘤性肿块不仅从口腔突出，还莫名向下生长，与硬腭和椎体骨膜相连，造成气道和食管梗阻，导致了超声检查结果。产后治疗和手术切除这种肿瘤似乎是不可能的。如果早期发现生长迅速的胎儿上颌寄生胎，应考虑终止妊娠。
