Bruch S W, Adzick N S, Reiss R, Harrison M R
Fetal Treatment Center, Department of Surgery, University of California, San Francisco, 94143-0570, USA.
J Pediatr Surg. 1997 Jul;32(7):1113-5. doi: 10.1016/s0022-3468(97)90410-3.
Although the majority of reported pericardial teratomas have been excised successfully in the postnatal period, the outcome of prenatally diagnosed pericardial teratomas remains less favorable. Two recent cases of prenatally diagnosed pericardial teratomas and a review of previously reported cases suggest a new management algorithm for those pericardial teratomas discovered in utero. Fetuses in whom hydrops does not develop may be safely followed up and treated postnatally. However, if hydrops develops, the fetus requires treatment with either aspiration of the pericardial effusion, or fetal surgery and resection.
虽然大多数已报道的心包畸胎瘤在出生后已成功切除，但产前诊断的心包畸胎瘤的预后仍不太理想。最近两例产前诊断的心包畸胎瘤病例以及对先前报道病例的回顾提示了一种针对子宫内发现的心包畸胎瘤的新管理方案。未出现水肿的胎儿可安全随访并在出生后治疗。然而，如果出现水肿，胎儿需要接受心包积液抽吸或胎儿手术及切除治疗。
