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采用产时宫外治疗(EXIT)手术治疗巨大胎儿颈部畸胎瘤。

Massive fetal cervical teratoma managed with the ex utero intrapartum treatment (EXIT) procedure.

作者信息

Olivares Emily, Castellow Justin, Khan Jamil, Grasso Susanne, Fong Victor

机构信息

School of Medicine, Eastern Virginia Medical School, Norfolk, VA, USA.

Department of Pediatrics, Children's Hospital of the King's Daughters, Norfolk, VA 23507, USA.

出版信息

Radiol Case Rep. 2018 Feb 2;13(2):389-391. doi: 10.1016/j.radcr.2017.12.011. eCollection 2018 Apr.

Abstract

Teratomas are rare congenital tumors typically comprising all 3 germ cell layers. Cervical teratomas arise in the neck and represent a minority of all teratomas. These are associated with high morbidity and mortality because of their propensity to cause airway obstruction. Demonstration on prenatal magnetic resonance imaging is uncommon, especially for a tumor of this size. Fetuses diagnosed with large neck masses are managed through cesarean section with the ex utero intrapartum treatment procedure to secure the airway, such as in our case of a large cervical teratoma in the female fetus of a 30-year-old mother who went into preterm labor.

摘要

畸胎瘤是罕见的先天性肿瘤,通常由所有三个胚层组成。颈部畸胎瘤发生于颈部,占所有畸胎瘤的少数。由于它们易于导致气道阻塞,所以这些肿瘤与高发病率和死亡率相关。产前磁共振成像显示并不常见,尤其是对于这种大小的肿瘤。诊断为颈部巨大肿块的胎儿通过剖宫产并采用产时宫外治疗程序来确保气道安全,比如我们这个病例,一位30岁母亲的女胎患有巨大颈部畸胎瘤并发生了早产。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd3e/5999839/3a1a0876fb35/radcr420-fig-0001.jpg

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