Kornacki Jakub, Skrzypczak Jana
Division of Reproduction, Department of Obstetrics, Gynaecology and Gynaecologic Oncology, Poznan University of Medical Sciences, Poland.
Ginekol Pol. 2017;88(5):266-269. doi: 10.5603/GP.a2017.0050.
In this review article we describe the ante- and perinatal management of fetal neck tumors. Although there are rare congenital anomalies, the clinical consequences for the fetus may be fatal and include airways obstruction, heart insufficiency, pulmonary hypoplasia and cosmetic effect. The right management allows to decrease the fetal and neonatal mortality and morbidity associated with the disease. It includes intrauterine therapy in some cases, mostly in a goitrus hypothyroidism of the fetus, but firstly, an assessment of the fetal airways patency with a subsequent, eventual Ex-Utero Intrapartum Treatment (EXIT).
在这篇综述文章中,我们描述了胎儿颈部肿瘤的产前和围产期管理。尽管存在罕见的先天性异常,但对胎儿的临床后果可能是致命的,包括气道阻塞、心脏功能不全、肺发育不全和美容效果。正确的管理可以降低与该疾病相关的胎儿和新生儿死亡率及发病率。在某些情况下,包括宫内治疗,主要是针对胎儿的甲状腺肿性甲状腺功能减退,但首先要评估胎儿气道的通畅情况,随后可能进行产时宫外治疗(EXIT)。