2003
DOI: 10.1007/s00383-003-0969-6
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Successful surgical management of a prenatally diagnosed intrapericardial teratoma

Abstract: Congenital intrapericardial teratoma is a rare, usually benign tumour frequently associated with massive pericardial effusion, cardiac compression, and severe cardiorespiratory distress shortly after birth. Surgical removal is not only curative but also potentially lifesaving because these lesions often become fatal if not promptly excised. We present a case of a newborn with a huge intrapericardial teratoma diagnosed in utero. After normal delivery the infant underwent surgical removal and has had clinical fo… Show more

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Cited by 25 publications
(17 citation statements)
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“…The differential diagnosis is often challenging and includes other anterior mediastinal masses (hemangioma, lymphangioma), cardiac tumors (fibromas, hemangiomas, rhabdomyomas, rhabdomyosarcomas), and thoracic malformations (congenital cystic adenomatoid malformation, extralobar pulmonary sequestration, and bronchogenic cyst) [5,10,14,16,17]. Successful fetal surgery has been described in cases presenting before 30 weeks of gestation [1][2][3][4][5][11][12][13]. Cesarean delivery after lung maturation is indicated because the increased cardiac compression during vaginal delivery may result in fatal heart compression [8].…”
Section: Discussionmentioning
confidence: 99%
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“…The differential diagnosis is often challenging and includes other anterior mediastinal masses (hemangioma, lymphangioma), cardiac tumors (fibromas, hemangiomas, rhabdomyomas, rhabdomyosarcomas), and thoracic malformations (congenital cystic adenomatoid malformation, extralobar pulmonary sequestration, and bronchogenic cyst) [5,10,14,16,17]. Successful fetal surgery has been described in cases presenting before 30 weeks of gestation [1][2][3][4][5][11][12][13]. Cesarean delivery after lung maturation is indicated because the increased cardiac compression during vaginal delivery may result in fatal heart compression [8].…”
Section: Discussionmentioning
confidence: 99%
“…Because of the specific clinical features of the lesion, definitive diagnosis may be obtained only with hystologic examination. Nowadays, prenatal diagnosis and early treatment of pericardial teratomas are increasingly possible [1,2,4,7]. This report describes a case of intrapericardial teratoma complicating a singleton pregnancy.…”
mentioning
confidence: 94%
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“…Teratomas are usually of the mature type, which are benign (and contain mature tissue), but the mortality is greater than 50% because of hemorrhage and local pressure effects 3 . Around 25% of teratomas are either malignant or contain immature fetal cells, carrying the potential for malignant change 4 . The precise etiology of teratoma remains uncertain.…”
Section: Discussionmentioning
confidence: 99%