Hutchison Dana M, Crosland Brian A, Wang Larry, Nageotte Michael P
University of California, School of Medicine, Irvine, USA.
University of California, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Irvine, USA.
Case Rep Womens Health. 2021 Apr 27;31:e00319. doi: 10.1016/j.crwh.2021.e00319. eCollection 2021 Jul.
We report a substantial axillary lymphangioma in a fetus delivered at 38 weeks of gestation. Detailed fetal survey at 20 weeks revealed a 5.45 × 3.72 cm nonvascular cystic axillary structure without other malformations; amniocentesis was negative. Serial surveillance was performed throughout the pregnancy. A male infant weighing 3000 g with a 16 × 12 × 9 cm septated cystic mass arising from the left axilla was delivered via cesarean section. The newborn period was complicated by cellulitis overlying the mass and interval cystic hemorrhage requiring sclerotherapy and subsequent excision. Nonnuchal lymphangiomas may be etiologically distinct entities. The prognostic factors include anatomic location, presence of septa, and association with other congenital abnormalities. A thorough evaluation, multidisciplinary approach, and close surveillance should be undertaken to optimize neonatal outcomes.
我们报告了一例妊娠38周分娩的胎儿患有巨大腋窝淋巴管瘤。孕20周时的详细胎儿检查发现一个5.45×3.72厘米的无血管囊性腋窝结构，无其他畸形；羊水穿刺结果为阴性。整个孕期进行了系列监测。一名体重3000克的男婴经剖宫产娩出，其左腋窝有一个16×12×9厘米的分隔囊性肿块。新生儿期出现肿块上方蜂窝织炎及间歇性囊性出血，需要进行硬化治疗并随后切除。非颈部淋巴管瘤可能在病因上是不同的实体。预后因素包括解剖位置、间隔的存在以及与其他先天性异常的关联。应进行全面评估、多学科方法和密切监测，以优化新生儿结局。
