Inoue M, Kubota A, Hasegawa T, Hata S, Takahashi E, Kawahara H, Suehara N, Okada A
Department of Pediatric Surgery, Osaka Medical Center, Japan.
Eur J Pediatr Surg. 1994 Apr;4(2):125-7. doi: 10.1055/s-2008-1066085.
Fetal sacrococcygeal teratoma (SCT) with hydrops fetalis is known to have a poor prognosis. We report a case of SCT with hydrops fetalis which was diagnosed antenatally at 30 weeks gestation. After delivery by cesarean section, the tumor was removed and the infant is alive one year after surgery with no sign of recurrence. However, he has profound brain damage, perhaps caused by hypoxia secondary to the perinatal hypovolemia. This case demonstrates that a 30 weeks' gestation, survival is possible in fetal cases of SCT with hydrops fetalis, and illustrates the importance of perinatal circulatory management.
胎儿骶尾部畸胎瘤（SCT）合并胎儿水肿的预后较差。我们报告一例妊娠30周时产前诊断为SCT合并胎儿水肿的病例。剖宫产分娩后，切除肿瘤，术后一年婴儿存活，无复发迹象。然而，他有严重的脑损伤，可能是由围产期血容量减少继发的缺氧所致。该病例表明，妊娠30周时，SCT合并胎儿水肿的胎儿病例有可能存活，并说明了围产期循环管理的重要性。
