Calvo-Garcia Maria A, Kline-Fath Beth M, Adams Denise M, Gupta Anita, Koch Bernadette L, Lim Foong-Yen, Laor Tal
Department of Radiology, MLC 5031 Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229-3039, USA,
Pediatr Radiol. 2015 Jul;45(8):1218-29. doi: 10.1007/s00247-014-3248-x. Epub 2014 Dec 10.
Vascular anomalies can be detected in utero and should be considered in the setting of solid, mixed or cystic lesions in the fetus. Evaluation of the gray-scale and color Doppler US and MRI characteristics can guide diagnosis. We present a case-based pictorial essay to illustrate the prenatal imaging characteristics in 11 pregnancies with vascular malformations (5 lymphatic malformations, 2 Klippel-Trenaunay syndrome, 1 venous-lymphatic malformation, 1 Parkes-Weber syndrome) and vascular tumors (1 congenital hemangioma, 1 kaposiform hemangioendothelioma). Concordance between prenatal and postnatal diagnoses is analyzed, with further discussion regarding potential pitfalls in identification.
血管异常可在子宫内被检测到，在胎儿出现实性、混合性或囊性病变时应予以考虑。灰阶超声、彩色多普勒超声及磁共振成像（MRI）特征的评估可指导诊断。我们通过一篇病例图片文章来说明11例患有血管畸形（5例淋巴管畸形、2例克-特综合征、1例静脉-淋巴管畸形、1例帕克斯-韦伯综合征）和血管肿瘤（1例先天性血管瘤、1例卡波西样血管内皮瘤）的妊娠的产前影像学特征。分析产前和产后诊断的一致性，并进一步讨论识别过程中可能存在的陷阱。
