Retrospective chart review of 44 fetuses with cervicofacial tumors in the sonographic assessment

Zielinski, Rafal; Respondek-Liberska, Maria

doi:10.1016/j.ijporl.2014.12.027

Cited by 8 publications

(7 citation statements)

References 25 publications

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“…There are multiple causes of congenital cystic malformations of the oral cavity. [8][9][21][22] LM may present with typical sonographic features, which usually manifest as transpatial and multiseptate cystic masses that are predominantly hypoechogenic and avascular. 22 Cases 3 and 4 in our series were diagnosed with LM that presented as a multiseptate cystic lesion with no vessels feeding within the oral mass.…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Fetal Oral Masses by Ultrasound Combined With Magnetic Resonance Imaging

Yan

Shentu

et al. 2021

J of Ultrasound Medicine

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Objectives-To analyze the imaging manifestations of common fetal oral masses by ultrasound combined with magnetic resonance imaging (MRI) and to discuss their differential diagnoses.Methods-A retrospective study of 6 fetuses with oral masses was performed at a tertiary referral center. The imaging features of prenatal ultrasonography and MRI in the diagnosis of fetal oral masses were analyzed.Results-Histopathological examination and/or postpartum ultrasound revealed lymphangioma malformation in 2 fetuses, and mucosal retention cyst, mature teratoma, immature teratoma, and cranial meningocele in 1 fetus, respectively. The teratoma had a characteristic sonographic appearance. In our study, the 4 cases of cystic masses did not have an abnormal vessel architecture. Supplemental MRI revealed a mass effect at the level of the hypopharynx, and in 2 cases with polyhydramnios, the mass obstructed the fetuses' upper airway. Thus, exutero intrapartum therapy surgery was performed to secure the newborn's airway.Conclusions-Oral fetal tumors represent rare congenital malformations. This study shows that a prenatal diagnosis of oral masses is feasible by ultrasound examination. MRI can further confirm the results of ultrasonography and clearly show the relationship between the mass and the hypopharynx. Ultrasonography combined with MRI could, to a large extent, facilitate early detection and appropriate treatment and improve outcome.

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Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis of Fetal Oral Masses by Ultrasound Combined With Magnetic Resonance Imaging

Yan

Shentu

et al. 2021

J of Ultrasound Medicine

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“…A number of genetic abnormalities have been reported in association with congenital or childhood teratomas, including aneuploidies, marker chromosomes, ring chromosomes, and copy number variants (3,7,8,10). Sacrococcygeal teratomas are well described in Currarino syndrome (MIM:176450) caused by pathogenic variants in MNX1, however there are no well described single gene causes of congenital cervical teratomas (7-9).…”

Section: Etiologymentioning

confidence: 99%

“…The commonest cause of fetal cervicofacial tumors is lymphatic malformation (75%) followed by teratoma/epignathus (21%), haemangioma (2%) and thyroid tumor (2%) (10). With advances in technology it is now possible to identify congenital cervical teratomas by 2D ultrasound scan as early as 15-17 weeks gestation (3).…”

Section: Prenatal Diagnosismentioning

confidence: 99%

Congenital cervical teratoma in association with neuronal migration disorder

Mary¹

2017

JPM

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Congenital cervical teratoma is a rare congenital malformation with an estimated incidence of one in 20,000-40,000 live births. Due to its mass effect it has a potential to cause significant fetal airway obstruction, while its hyper-vascularity may result in fetal heart failure and hydrops fetalis. An association with intracranial abnormalities has been previously described but is extremely rare and no cases of postnatal survival have previously been reported. In this study we report the first case of congenital cervical teratoma with neuronal migration disorder in a live-born infant and the role of in-utero cyst drainage as an airway salvage intervention. We also present a literature review on etiology, diagnosis, management options and prognosis of congenital cervical teratoma with and without intracranial abnormalities.

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“…The prenatal diagnostics, both ultrasound and echocardiography allows an early evaluation of structural and functional development and defects as well as other pathologies [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Prenatal assessment of fetal head and neck by ultrasound has mainly focused on the visualization of anatomical structures [2]; however observation of fetal behavior, i.e., nasal and oral fluid flow with the use of color Doppler and spectral Doppler may be an additional component of fetus examination as suggested by Kalache [8].…”

Section: Introductionmentioning

confidence: 99%

Assessment of nasal and oral flow of amniotic fluid in 46 non-anomalous fetuses with sonographic and echocardiographic examination

2018

Self Cite

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Objectives: The aim of the paper was to assess nasal and oral amniotic fluid flows, with the use of color ultrasound and spectral Doppler, in normal fetuses. Material and methods:Forty-six fetuses of singleton gestations were studied prospectively. Spectrum imaging and maximal nasal fluid flow velocities were described. Episodes of regurgitation (external flow from the mouth), swallowing (internal flow at the level of oropharynx and then entrance to the esophagus) were evaluated in two groups: Fetuses < 27 weeks of gestation and 27 weeks of gestation and older. Statistical analysis was done using Fischer exact test and t-test at p = 0.05.Results: Twenty-one fetuses were < 27 weeks of gestational age and presented mean maximal both inspiratory and expiratory nasal fluid flow velocities significantly lower than twenty-five fetuses who were ≥ 27 weeks of gestational age (p = 0.035 and p = 0.031 respectively, t-test). Episodes of regurgitation were observed more frequently in group of "younger" fetuses (p = 0.006, Fischer exact test). There was no statistically significant relationship between irregular nasal flow spectrum by color Doppler and gestational age group (p = 0.264, Fischer exact test). Conclusions:Episodes of regurgitation occurred in normal fetuses < 27 th week of gestation. Fast amniotic nasal fluid flows without episodes of regurgitation were observed more frequently in fetuses ≥ 27 weeks and it could be interpreted as an additional sonographic feature of prenatal maturation.

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Retrospective chart review of 44 fetuses with cervicofacial tumors in the sonographic assessment

Cited by 8 publications

References 25 publications

Prenatal Diagnosis of Fetal Oral Masses by Ultrasound Combined With Magnetic Resonance Imaging

Prenatal Diagnosis of Fetal Oral Masses by Ultrasound Combined With Magnetic Resonance Imaging

Congenital cervical teratoma in association with neuronal migration disorder

Assessment of nasal and oral flow of amniotic fluid in 46 non-anomalous fetuses with sonographic and echocardiographic examination

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