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产前发现的前纵隔巨大畸胎瘤:一例报告。

A giant teratoma in the anterior mediastinum found prenatally: A case report.

作者信息

Su Yuntian, Alifu Ailixiati, Wang Haifan, Lin Shibin, Su Xiaoman, Wei Yong, Wan Ying, Chen Renwei

机构信息

Department of Cardiothoracic Surgery, Hainan Women and Children's Medical Center, Haikou, China.

Department of Ultrasound, Hainan Women and Children's Medical Center, Haikou, China.

出版信息

Front Pediatr. 2023 Mar 13;11:1128947. doi: 10.3389/fped.2023.1128947. eCollection 2023.

Abstract

Prenatal anterior mediastinal teratomas are rare. Anterior mediastinal teratomas can cause edema during the perinatal period. Color Doppler ultrasonography and chest computed tomography (CT) are of great value in diagnosing neonatal anterior mediastinal teratomas. Here, we report a case of prenatally diagnosed neonatal anterior mediastinal teratoma. After birth, transthoracic echocardiography and chest enhanced CT showed a large solid mass in the pericardial cavity. Owing to compression of the heart, the tumor was completely removed 1 day after birth, and cardiopulmonary bypass was performed. Pathology results indicated an immature teratoma (Grade I). At 9-month follow-up, the patient remained in good overall condition without observed recurrences.

摘要

产前诊断的前纵隔畸胎瘤很罕见。前纵隔畸胎瘤在围产期可导致水肿。彩色多普勒超声和胸部计算机断层扫描(CT)对诊断新生儿前纵隔畸胎瘤具有重要价值。在此,我们报告一例产前诊断的新生儿前纵隔畸胎瘤病例。出生后,经胸超声心动图和胸部增强CT显示心包腔内有一个巨大实性肿块。由于心脏受压,出生后1天进行了肿瘤全切并实施体外循环。病理结果显示为未成熟畸胎瘤(I级)。随访9个月时,患者总体状况良好,未见复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffb4/10040742/2e5ff62bb4c0/fped-11-1128947-g001.jpg

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