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胎儿肝血管瘤的产前超声诊断

Prenatal sonographic diagnosis of fetal hepatic hemangioma.

作者信息

Sepúlveda W H, Donetch G, Giuliano A

机构信息

Department of Obstetrics and Gynecology, Guillermo Grant Benavente Hospital, University of Concepción, Chile.

出版信息

Eur J Obstet Gynecol Reprod Biol. 1993 Jan;48(1):73-6. doi: 10.1016/0028-2243(93)90057-j.

DOI:10.1016/0028-2243(93)90057-j
PMID:8449266
Abstract

Although hepatic hemangioma represents the most common tumor of the liver during childhood, the prenatal diagnosis of this condition has been rarely reported in the literature. In this report, we describe a case of hepatic hemangioma presenting as a small hyperechogenic mass (1.1 x 0.9 cm) in the fetal liver in which the diagnosis was made at 33 weeks' gestation by ultrasound. Subsequent postnatal evaluation by Doppler ultrasound confirmed the diagnosis and follow-up examinations have documented its spontaneous regression. The prenatal diagnosis of a liver mass allows not only the evaluation of changes in size or pattern of the mass itself during pregnancy but also its prompt evaluation after birth.

摘要

尽管肝血管瘤是儿童期最常见的肝脏肿瘤,但该疾病的产前诊断在文献中鲜有报道。在本报告中,我们描述了一例肝血管瘤病例,其在胎儿肝脏中表现为一个小的高回声团块(1.1×0.9厘米),在妊娠33周时通过超声做出诊断。随后出生后的多普勒超声评估证实了诊断,随访检查记录了其自发消退情况。肝脏肿块的产前诊断不仅可以评估孕期肿块本身大小或形态的变化,还能在出生后对其进行及时评估。

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Prenatal sonographic diagnosis of fetal hepatic hemangioma.胎儿肝血管瘤的产前超声诊断
Eur J Obstet Gynecol Reprod Biol. 1993 Jan;48(1):73-6. doi: 10.1016/0028-2243(93)90057-j.
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Prenatal diagnosis of hepatic hemangioma.肝血管瘤的产前诊断
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Fetal hepatic hemangioma representing non-reassuring pattern in fetal heart rate monitoring.胎儿肝脏血管瘤在胎儿心率监测中表现为令人担忧的模式。
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The use of color flow Doppler in the diagnosis of fetal hepatic hemangioma.彩色多普勒血流显像在胎儿肝脏血管瘤诊断中的应用
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引用本文的文献

1
Prenatal ultrasonographic detection of abdominal and pelvic tumors: impact on management.产前超声检查对腹部及盆腔肿瘤的检测:对治疗的影响
Pediatr Surg Int. 1996 Dec;11(1):8-13. doi: 10.1007/BF00174576.
2
Hepatic haemangioma-prenatal imaging findings, complications and perinatal outcome in a case series.肝血管瘤——病例系列的产前影像学表现、并发症和围产儿结局。
Pediatr Radiol. 2012 Mar;42(3):298-307. doi: 10.1007/s00247-011-2214-0. Epub 2011 Sep 18.