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巨大双侧腋窝囊性淋巴管瘤的产前诊断与处理

Prenatal diagnosis and management of massive bilateral axillary cystic lymphangioma.

作者信息

McCoy M C, Kuller J A, Chescheir N C, Coulson C C, Katz V L, Nakayama D K

机构信息

Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, USA.

出版信息

Obstet Gynecol. 1995 May;85(5 Pt 2):853-6. doi: 10.1016/0029-7844(94)00312-2.

DOI:10.1016/0029-7844(94)00312-2
PMID:7724136
Abstract

BACKGROUND

Fetal lymphangiomas can occur in many different anatomic locations, including the most commonly seen nuchal cystic hygroma.

CASE

A fetus at 18 weeks' gestation was found to have a massive right axillary hygroma. The fetal karyotype was normal. Serial ultrasound examinations indicated progressive enlargement, but no hydrops. At 32 weeks' gestation, a left axillary hygroma was also diagnosed. The patient underwent cesarean delivery.

CONCLUSION

Prenatal diagnosis of nuchal cystic hygromas has a high association with karyotypic abnormalities, hydrops, and fetal demise; however, this association may not apply to cystic lymphangiomas at other locations.

摘要

背景

胎儿淋巴管瘤可发生于许多不同的解剖部位,包括最常见的颈部水囊瘤。

病例

一名孕18周的胎儿被发现右侧腋窝有巨大水囊瘤。胎儿核型正常。系列超声检查显示其逐渐增大,但未出现水肿。孕32周时,又诊断出左侧腋窝有水囊瘤。患者接受了剖宫产。

结论

产前诊断颈部水囊瘤与核型异常、水肿及胎儿死亡高度相关;然而,这种关联可能不适用于其他部位的囊性淋巴管瘤。

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Prenatal diagnosis and management of massive bilateral axillary cystic lymphangioma.巨大双侧腋窝囊性淋巴管瘤的产前诊断与处理
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J Med Ultrason (2001). 2016 Apr;43(2):285-9. doi: 10.1007/s10396-015-0695-4. Epub 2015 Dec 26.
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Fetal axillary cystic hygroma: a case report and review.胎儿腋窝囊肿性水瘤:一例报告及文献复习
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