巨大胎儿上颌寄生胎的产时宫外治疗（EXIT）手术
Ex-utero Intrapartum Treatment (EXIT) Procedure for Giant Fetal Epignathus.
作者信息
Jayagobi Pooja Agarwal, Chandran Suresh, Sriram Bhavani, Chang Kenneth T E
机构信息
Departments of Neonatology and *Pathology AND Laboratory Medicine, Kandang Kerbau Women and Childrens Hospital, Singapore. Correspondence to: Dr Pooja Agarwal Jayagobi, Associate Consultant, Department of Neonatology, Kandang Kerbau WomenS and ChildrenSHospital, 100 Bukit Timah Road, Singapore 229899.
出版信息
Indian Pediatr. 2015 Oct;52(10):893-5. doi: 10.1007/s13312-015-0740-9.
BACKGROUND
Large fetal oropharyngeal tumors are rare, and have the potential to cause airway obstruction during birth.
CASE CHARACTERISTICS
A 35-year-old woman with antenatally diagnosed large heterogenous mass in fetal neck displacing trachea and filling up the orophanygeal space.
INTERVENTION
The infant was delivered at 31 weeks of gestation by ex-utero intrapartum therapy procedure to secure the airway.
OUTCOME
Tumor was resected successfully on day 8 of life. Histopathology revealed mixed teratoma.
MESSAGE
Ex-utero intrapartum therapy for fetuses with severe upper airway compromise may prove life-saving.
背景
巨大胎儿口咽肿瘤罕见，有可能在分娩时导致气道阻塞。
病例特征
一名35岁女性，产前诊断胎儿颈部有巨大异质性肿块，压迫气管并占据口咽间隙。
干预措施
妊娠31周时通过产时宫外治疗程序分娩婴儿以确保气道安全。
结果
婴儿出生第8天成功切除肿瘤。组织病理学显示为混合性畸胎瘤。
启示
对于有严重上气道受压的胎儿，产时宫外治疗可能挽救生命。
Zotero 插件