Prenatal MRI in a fetus with a giant neck hemangioma: a case report

Shiraishi, Hiroaki; Nakamura, Miki; Ichihashi, Ko; Uchida, Akira; Izumi, Akira; Hyodoh, Hideki; Momoi, Mariko Y.

doi:10.1002/1097-0223(200012)20:12<1004::aid-pd953>3.0.co;2-z

Cited by 37 publications

(31 citation statements)

References 18 publications

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“…23,24 In two instances, the neonate died of complications of the tumor. 25,26 There are also examples of antenatal diagnosis of single and multiple intrahepatic hemangiomas, [27][28][29] and two case reports of prenatal treatment of the fetus, via the mother, either with corticosteroid 30,31 or interferon. 32 But not all congenital hemangiomas shrink in the first year-some do not regress at all.…”

Section: Discussionmentioning

confidence: 99%

Congenital hemangiomas and infantile hemangioma: missing links

Mulliken

Enjolras

2004

Journal of the American Academy of Dermatology

308

205

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Section: Discussionmentioning

confidence: 99%

Congenital hemangiomas and infantile hemangioma: missing links

Mulliken

Enjolras

2004

Journal of the American Academy of Dermatology

308

205

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“…In this series, all of these posterior masses were vascular in origin, and most were pathologically proven hemangiomas. There have been isolated case reports of giant hemangiomas; however in our series, several masses were smaller than 20 mL in volume 7 , 8 . Importantly, despite the presence of calcifications, which were previously thought to be virtually diagnostic of teratoma, 2 5 posterior neck masses containing calcifications were diagnosed as hemangiomas rather than teratomas.…”

Section: Discussionmentioning

confidence: 50%

“…Fetal neck masses can also complicate vaginal delivery as well as cause respiratory distress in the neonate and subsequent difficulty maintaining the airway 5 . Cervical teratomas and hemangiomas may result in high‐output cardiac failure in the infant 7 , 8 . Therefore, after the in utero detection of a neck abnormality, narrowing the differential diagnosis, although potentially a difficult task, is crucial.…”

mentioning

confidence: 99%

Sonographic Features of Rare Posterior Fetal Neck Masses of Vascular Origin

Kaplan

Coleman

Shaylor

et al. 2013

Journal of Ultrasound in Medicine

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he collaborative guidelines endorsed by the American College of Obstetricians and Gynecologists, American College of Radiology, and American Institute of Ultrasound in Medicine for second-and third-trimester obstetric sonographic examinations 1 do not address fetal neck masses, which are rare congenital anomalies. However, when examining the fetal head and cervical spine regions, such masses tend to be large and are often readily apparent. The differential diagnoses include cystic hygroma, teratoma, goiter, lymphangioma, sarcoma, cervical myelomeningocele, and occipital encephalocele. [2][3][4] Fetal neck masses can be associated with aneuploidy, such as Turner syndrome (XO), or specific syndromes, such as Klippel-Trenaunay-Weber syndrome. 5 These masses can result in prenatal complications, including nonimmune hydrops and polyhydramnios. 3,5,6 Fetal neck masses can also complicate vaginal delivery as well as cause respiratory distress in the neonate and subsequent difficulty maintaining the airway. 5 Cervical teratomas and hemangiomas may result in high-output cardiac failure in the infant. 7,8 Therefore, after the in utero detection of a neck abnormality, narrowing the differential diagnosis, although potenMegan C. Kaplan, MD, Beverly G. Coleman, MD, Sara D. Shaylor, MD, Lori J. Howell, RN, MS, Edward R. Oliver, MD, PhD, Steven C. Horii, MD, N. Scott Adzick, MD Received June 21, 2012, CASE SERIESThe purpose of this series is to describe the grayscale and color Doppler sonographic characteristics as well as the histopathologic features of rare solid posterior neck masses identified on prenatal sonography in pregnant patients. We conducted a retrospective review of detailed fetal sonographic examinations of second-and third-trimester pregnancies referred to the Center for Fetal Diagnosis and Treatment at the Children's Hospital of Philadelphia for suspected fetal neck masses from June 1998 to December 2011. Eight predominately solid posterior neck masses were identified on 139 studies performed during the study period. Of the 7 cases in which follow-up was available, 6 were confirmed as hemangiomas, and 1 was confirmed as a kaposiform hemangioendothelioma with Kasabach-Merritt syndrome. The most common sonographic features were hypervascularity (7) and calcifications (5). Posterior solid fetal neck masses are rare anomalies. Hemangioma is the most common etiology and should be suggested as the likely diagnosis rather than teratoma, even in the presence of calcifications.

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“…9 Increased or pulsatile flow signals in the mass are usually present. 2,10 The presence of flow signals depends on the vascular type, amount of arteriovenous shunting, and proliferation of endothelial cells. 11 In contrast, the prenatal sonographic features of capillary hemangiomas are not well described.…”

Section: Discussionmentioning

confidence: 99%