巨大胎儿胸壁淋巴管瘤及其预后：病例报告与文献复习
Giant fetal lymphangioma at chest wall and prognosis: case report and literature review.
作者信息
Lu Donghao, Wang Yuhe, Zeng Weiyue, Peng Bing
机构信息
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China; Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, China.
出版信息
Taiwan J Obstet Gynecol. 2015 Feb;54(1):62-5. doi: 10.1016/j.tjog.2014.11.009.
OBJECTIVE
To report a rare liveborn case with a giant, septated, chest wall lymphangioma that underwent prenatal expectation treatment.
CASE REPORT
A case of giant fetal chest wall cystic lymphangioma was diagnosed prenatally at 19 weeks gestation. Expectation treatment was performed, carefully after prenatal counseling, ruling out other structural abnormalities. At 38 weeks gestation, ultrasound showed a multilocular, subcutaneous cystic mass of 12.3 cm × 9.2 cm × 11.0 cm located on the left chest wall and left upper arm. The tumor was surgically removed 4 days after birth, and no recurrence was observed in the following 18 months.
CONCLUSION
Our experience suggests that a large, septated fetal lymphangioma may still merit prenatal expectation treatment if there is no evidence for chromosomal and structural abnormality.
目的
报告一例罕见的活产巨大、分隔型胸壁淋巴管瘤病例，该病例接受了产前期待治疗。
病例报告
一名巨大胎儿胸壁囊性淋巴管瘤病例在孕19周时被产前诊断。在进行产前咨询并排除其他结构异常后，谨慎地进行了期待治疗。孕38周时，超声显示一个位于左胸壁和左上臂的多房性皮下囊性肿物，大小为12.3 cm×9.2 cm×11.0 cm。出生后4天手术切除该肿瘤，在随后的18个月中未观察到复发。
结论
我们的经验表明，如果没有染色体和结构异常的证据，大型、分隔型胎儿淋巴管瘤仍可能值得进行产前期待治疗。
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