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病例报告：超声引导下胎儿后颈部实性肿瘤的宫内活检及射频消融治疗：首例成功报告

Case report: Ultrasound-guided intrauterine biopsy and RF ablation therapy for fetal posterior neck solid tumor: first successful report.

作者信息

Liu Shanshan, Luo Qiong, Fu Xiaofeng, Wang Minyan, Zou Qingguo, Wang Licheng, Kan Guangjuan, Si Xing, Dong Heqin, Lan Xiani, Han Yutian, Zhu Jiang

机构信息

Department of Ultrasound, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Ultrasound, Jinhua Hospital of Zhejiang University, Jinhua, China.

出版信息

Front Oncol. 2022 Aug 23;12:913694. doi: 10.3389/fonc.2022.913694. eCollection 2022.

DOI:10.3389/fonc.2022.913694
PMID:36081546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9446077/
Abstract

Large fetal head and neck tumors are being increasingly identified during prenatal examination and tend to have a poor prognosis. Nevertheless, appropriate intrauterine interventions at suitable periods can improve pregnancy outcome. Ultrasound-guided puncture biopsy of the solid fetal head and neck mass and radiofrequency ablation of a portion of the tissue can clarify the tumor pathology and reduce the tumor size, respectively. These treatment methods are reproducible and associated with reduced trauma and complications.

摘要

在产前检查中，越来越多地发现巨大胎儿头颈部肿瘤，且预后往往较差。然而，在适当的时候进行恰当的宫内干预可以改善妊娠结局。超声引导下对胎儿头颈部实性肿块进行穿刺活检以及对部分组织进行射频消融，可分别明确肿瘤病理并缩小肿瘤大小。这些治疗方法具有可重复性，且创伤和并发症较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/92bf37e23f39/fonc-12-913694-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/56c3b2e0780b/fonc-12-913694-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/73f6aba5108e/fonc-12-913694-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/501954e7c959/fonc-12-913694-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/92bf37e23f39/fonc-12-913694-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/56c3b2e0780b/fonc-12-913694-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/73f6aba5108e/fonc-12-913694-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/501954e7c959/fonc-12-913694-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/886e/9446077/92bf37e23f39/fonc-12-913694-g004.jpg

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本文引用的文献

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Fetal brain, head, and neck tumors: Prenatal imaging and management.胎儿脑、头颈部肿瘤：产前影像学与处理。
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Percutaneous Intratumor Laser Ablation for Fetal Sacrococcygeal Teratoma.经皮瘤内激光消融治疗胎儿骶尾部畸胎瘤
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Management of fetal tumors.胎儿肿瘤的处理。
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2014 Revised Classification of Vascular Lesions from the International Society for the Study of Vascular Anomalies: Radiologic-Pathologic Update.2014 年国际脉管性疾病研究学会修订的脉管性病变分类：放射-病理更新。
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From the archives of the AFIP: a comprehensive review of fetal tumors with pathologic correlation.源自武装部队病理研究所档案：胎儿肿瘤的全面回顾及病理对照
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Spectrum of intrapartum management strategies for giant fetal cervical teratoma.巨大胎儿颈部畸胎瘤的产时管理策略范围
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Thermocoagulation of fetal sacrococcygeal teratoma.胎儿骶尾部畸胎瘤的热凝术。
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