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.
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.
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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