EXIT (Ex Utero Intrapartum Treatment) technique - Management of a giant fetal lymphangioma

Pascoli, Irene; Gritti, Alessandra; Cutrone, Cesare; Presotto, Sandro; Bendini, Matteo; Bordignon, Linda; Stampalija, Tamara; Bracalente, Gabriella

doi:10.1080/14767050903121423

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“…The growth and extent of the lesion are primary factors in predicting the outcome of the gestation; thus, serial sonographic examinations are important. Large fetal lymphatic malformations may require prenatal aspiration of cystic components or operative delivery including cesarean delivery or the ex utero intrapartum treatment (EXIT) procedure to avoid perinatal complications, such as hypoxia …”

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confidence: 99%

“…Large fetal lymphatic malformations may require prenatal aspiration of cystic components or operative delivery including cesarean delivery or the ex utero intrapartum treatment (EXIT) procedure to avoid perinatal complications, such as hypoxia. 1,2,4,7,10,[12][13][14][15] There have been numerous published case reports on fetal lymphatic malformations. However, to the best of our knowledge, no prior case series exists that details their variability.…”

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Fetal Lymphatic Malformations: More Variable Than We Think?

et al. 2017

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Lymphatic malformations are benign lesions that result from abnormal development of the lymphatic and venous systems. These lesions may be detected during routine prenatal ultrasound screening, and typically demonstrate imaging findings of a multiseptate cystic lesion lacking solid components, vascularity, and calcifications. We report 73 cases of prenatally detected lymphatic malformations and describe greater variability in their prenatal sonographic appearance than previously reported, including purely cystic lesions and mixed cystic and solid lesions with calcifications. Appreciation of this increased variability is important in providing accurate prenatal diagnosis, counseling, and management.

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confidence: 99%

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Fetal Lymphatic Malformations: More Variable Than We Think?

et al. 2017

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“…This helps to define which lesions may be more suitable for surgical excision or sclerotherapy, and which may be more difficult to manage. Large fetal lymphatic malformations may require prenatal aspiration of cystic components or operative delivery including cesarean delivery or the EXIT procedure to avoid perinatal complications 77,78,79 . The current approach to treatment of VLM is interventional sclerotherapy, including initial attempts of prenatal intralesional injection of sclerosing agents 80,81 .…”

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confidence: 99%

Fetal brain, head, and neck tumors: Prenatal imaging and management

2020

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Fetal tumors represent an infrequent pathology when compared to congenital malformations, although their true incidence may be underestimated. A variety of benign and malignant neoplasms may occur anywhere in the neural axis. Imaging plays an important role in the fetal tumor diagnosis and evaluation of their resultant complications. Discovery of a fetal mass on obstetric ultrasound necessitates further evaluation with prenatal magnetic resonance imaging (MRI). New MR sequences and new applications of existing techniques have been successfully implemented in prenatal imaging. A detailed assessment may be performed using a variety of MR. Fetal tumors may be histologically benign or malignant, but their prognosis generally remains poor, especially for intracranial lesions. Unfavorable tumor location or heightened metabolic demands on a developing fetus may result in severe complications and a fatal outcome, even in cases of benign lesions. Nowadays, prenatal treatment focuses mainly on alleviation of secondary complications caused by the tumors. In this article we review congenital tumors of the brain, face, and neck encountered in prenatal life, and discuss diagnostic clues for appropriate diagnosis.

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Lymphangioma

2016

Diagnostic Imaging: Obstetrics

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EXIT (Ex Utero Intrapartum Treatment) technique - Management of a giant fetal lymphangioma

Cited by 3 publications

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Fetal Lymphatic Malformations: More Variable Than We Think?

Fetal Lymphatic Malformations: More Variable Than We Think?

Fetal brain, head, and neck tumors: Prenatal imaging and management

Lymphangioma

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