Department of Radiology, Women's Hospital, Zhejiang University School of Medicine, Xueshi Rd No. 1, Hangzhou, Zhejiang, People's Republic of China.
Department of Ultrasound, Women's Hospital, Zhejiang University School of Medicine, Xueshi Rd No. 1, Hangzhou, Zhejiang, People's Republic of China.
Sci Rep. 2021 Jan 14;11(1):1385. doi: 10.1038/s41598-021-80976-4.
Congenital facio-cervical masses can be a developmental anomaly of cystic, solid, or vascular origin, and have an inseparable relationship with adverse prognosis. This retrospective cross-sectional study aimed at determining on the prenatal diagnosis of congenital facio-cervical masses, its management and outcome in a large tertiary referral center. We collected information on prenatal clinical data, pregnancy outcomes, survival information, and final diagnosis. Out of 130 cases of facio-cervical masses, a total of 119 cases of lymphatic malformations (LMs), 2 cases of teratoma, 2 cases of thyroglossal duct cyst, 4 cases of hemangioma, 1 case of congenital epulis, and 2 cases of dermoid cyst were reviewed. The accuracy of prenatal ultrasound was 93.85% (122/130). Observations of diameters using prenatal ultrasound revealed that the bigger the initial diameter is, the bigger the relative change during pregnancy. Magnetic resonance imaging (MRI) revealed that 2 cases of masses were associated with airway compression. In conclusion, ultrasound has a high overall diagnostic accuracy of fetal face and neck deformities. Prenatal US can enhance the management of ambulatory monitoring and classification. Furthermore, MRI provided a detailed assessment of fetal congenital malformations, as well as visualization of the trachea, presenting a multi-dimensional anatomical relationship.
先天性面颈部肿块可为囊性、实性或血管源性发育异常，与不良预后有不可分割的关系。本回顾性横断面研究旨在确定在大型三级转诊中心，先天性面颈部肿块的产前诊断、管理和结局。我们收集了产前临床数据、妊娠结局、生存信息和最终诊断的信息。在 130 例面颈部肿块中，共回顾了 119 例淋巴管畸形（LM）、2 例畸胎瘤、2 例甲状舌管囊肿、4 例血管瘤、1 例先天性龈瘤和 2 例皮样囊肿。产前超声的准确率为 93.85%（122/130）。产前超声观察直径发现，初始直径越大，妊娠期间的相对变化越大。磁共振成像（MRI）显示 2 例肿块与气道压迫有关。总之，超声对胎儿面颈部畸形具有较高的整体诊断准确率。产前 US 可增强对门诊监测和分类的管理。此外，MRI 对胎儿先天性畸形进行了详细评估，并对气管进行了可视化，呈现出多维的解剖关系。
