Ex Utero Intrapartum Treatment (EXIT) for a Large Fetal Neck Mass

Beck, Manisha Madhai; Rai, Ekta; Vijayaselvi, Reeta; John, Mary; Naina, P.; Santhanam, Sridhar; Kumar, Manish; Ross, Benjamin

doi:10.1007/s13224-017-1017-0

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…Since the mother did not have an early dating scan, and with the baby’s expected weight being 1800 g (with the tumour), the mother was given two doses of antenatal steroids. As oesphageal and tracheal obstruction was anticipated, the baby was delivered by ex utero intrapartum therapy (EXIT) under general anaesthesia 1. An airway was established in 7 min under direct laryngoscopy with a 3 size endotracheal tube after an assistant lifted the tumour away from the field.…”

Section: Case Presentationmentioning

confidence: 99%

Malignant rhabdoid tumour of the neck in a neonate

et al. 2018

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Fetal neck masses are rare, and present a challenge antenatally, during delivery and in making a diagnosis. In this report, we detail the presentation of a neonate with a neck mass diagnosed in the third trimester. The baby was delivered by ex utero intrapartum therapy (EXIT). Investigations sent included an MRI with limited CT cuts, and a biopsy, which lead to the diagnosis of a malignant rhabdoid tumour. This is rare and the overall survival is low.

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Section: Case Presentationmentioning

confidence: 99%

Malignant rhabdoid tumour of the neck in a neonate

et al. 2018

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“…Hence, mother was given a course of antenatal steroids (betamethasone). Baby was delivered via an EXIT procedure4 with her airway secured by 7 min.…”

Section: Case Presentationmentioning

confidence: 99%

Tumour lysis in newborn: spontaneous or secondary to antenatal steroids?

Ponmudi

Beryl

Santhanam³

et al. 2018

BMJ Case Reports

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Malignancies are rare in the early neonatal period. Common congenital tumours include malignant teratoma and neuroblastomas. Tumour lysis syndrome is a serious condition usually seen after commencement of chemotherapy for a malignancy. Rare case reports of spontaneous tumour lysis have been reported though not in the newborn period. We report here an instance of tumour lysis syndrome in a newborn with congenital rhabdoid tumour, where the cause was either spontaneous or related to antenatal steroid exposure.

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