Perinatal care of a woman with the prenatal diagnosis of a massive fetal neck tumour (cervical teratoma)

O’Callaghan, Stephen; Walker, Paul; Wake, Charlotte; Roy, Gerard; Farrell, Patrick T.

doi:10.1111/j.1471-0528.1997.tb11058.x

Cited by 15 publications

(13 citation statements)

References 7 publications

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“…These tumors are usually benign [1]. Associated congenital anomalies are seldom seen [8], although airway hypoplasia has been reported in 3 cases [1,4] and pulmonary hypoplasia in 3 [1,8]. Twenty to thirty percent will present with polyhydramnios secondary to impaired fetal deglutition [2,9].…”

Section: Discussionmentioning

confidence: 99%

“…Intubation after delivery of the head, while maintaining fetal oxygenation through the uteroplacental circulation, is today the most frequently reported management [3,5,10]. Intubation after delivery of the whole baby but before cord clamping, with or without the concurrent use of tocolytics to prevent placental separation, has also been successful [1,4,11]. In this case, the first management option was preferred on the assumption that it is easier to keep the uterus relaxed and maintain an adequate uteroplacental circulation with most of the baby kept inside.…”

Section: Discussionmentioning

confidence: 99%

“…Two thirds of these deaths occurred before the excision surgery [2]. Experience over the last 10 years, involving a higher proportion of prenatally diagnosed teratomas and planned deliveries, shows a mortality rate of 26.7% [1,[4][5][6]. The true mortality rate is probably higher due to reporting bias.…”

Section: Introductionmentioning

confidence: 99%

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Prenatally Diagnosed Fetal Neck Teratoma

et al. 1998

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A case of fetal neck teratoma diagnosed at 32 weeks’ gestation is reported. Planning before delivery included consultations with the neonatologist, the anesthesiologist, the otolaryngologist and the social worker. Delivery by cesarean section under epidural anesthesia was carried out at 34 weeks because of preterm labor. The head was delivered and the fetus was intubated within 4½ min using a rigid bronchoscope. Magnesium sulfate and nitroglycerin provided uterine relaxation allowing fetal oxygenation via the uteroplacental circulation. Umbilical artery blood gases were satisfactory. The early neonatal course was complicated by hemorrhage from the teratoma externally as well as intratracheal bleeding and ventilatory problems. The baby died at 40 min of age in his mother’s arms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prenatally Diagnosed Fetal Neck Teratoma

et al. 1998

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“…The EXIT procedure [8,9] was developed to secure an infant's airway whilst it is still at least partly in utero and still dependent on a placental supply of oxygen. Several series and case reports have described the EXIT procedure as an intervention for giant foetal neck masses and congenital high airway obstruction syndrome (CHAOS) [10][11][12]. Results associated with this procedure have been encouraging.…”

Section: Discussionmentioning

confidence: 91%

Antenatally diagnosed duplication cyst of the tongue: modern imaging modalities assist perinatal management

et al. 2005

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When a foetal abnormality is detected during routine antenatal screening, further information is required in order to plan the remainder of the pregnancy and perinatal management. If a lesion is detected in the foetal mouth or neck, there may be compromise of the foetal airway. The ex-utero intrapartum (EXIT) procedure has recently been developed to allow lifesaving foetal surgery to be performed during delivery of such cases whilst relying on placental support. Detailed antenatal assessment is essential when planning the EXIT procedure, and modern imaging modalities may be implemented. We illustrate this by reporting a rare case of enteric duplication cyst arising from the base of the tongue, which was detected on routine antenatal ultrasound scan. Subsequent imaging using foetal MRI and colour Doppler ultrasound reassured us that the foetal airway was patent, and an EXIT procedure was avoided.

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“…Thus, cervical teratoma has a poor prognosis. Recently, successful managements using EXIT have been reported for airway obstruction cases including cervical teratoma [1,4] . Since cervix and sacrococcygeal regions are both commonly occurring sites of fetal teratomas, and ultrasonographic appearances in our case were consistent with teratoma, we prenatally diagnosed as multiple teratoma.…”

Section: Discussionmentioning

confidence: 99%

Congenital Cervical Rhabdomyosarcoma Arising in One Fetus of a Twin Pregnancy

Yoshino¹,

Takeuchi

Nakayama

et al. 2005

Fetal Diagn Ther

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Objective: To describe a huge congenital cervical rhabdomyosarcoma. Methods: We were recently confronted with a case of fetal solid neck mass arising in one fetus of a twin pregnancy. Prenatally, the cervical tumor was consistent with teratoma, but it was diagnosed histologically as a rhabdomyosarcoma. Genetic amniocentesis showed a mosaic pattern consisting of 46,XY/46,XY,t(2;8)(q35;q21.2). Results: EXIT procedure was proposed to the parents but declined. The twin with huge cervical tumor died in utero at 35 weeks’ gestation due to hydrops fetalis. Conclusion: Fetal cervical rhabdomyosarcoma is an extremely rare condition that has not been previously reported, but should be considered in the presentation of fetal solid neck mass.

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Perinatal care of a woman with the prenatal diagnosis of a massive fetal neck tumour (cervical teratoma)

Cited by 15 publications

References 7 publications

Prenatally Diagnosed Fetal Neck Teratoma

Prenatally Diagnosed Fetal Neck Teratoma

Antenatally diagnosed duplication cyst of the tongue: modern imaging modalities assist perinatal management

Congenital Cervical Rhabdomyosarcoma Arising in One Fetus of a Twin Pregnancy

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