Antenatal demonstration of axillary cystic hygroma.

Hoffman-Tretin, Janet C.; Koenigsberg, Mordecai; Ziprkowski, Micha N.

doi:10.7863/jum.1988.7.4.233

Cited by 19 publications

(15 citation statements)

References 3 publications

(3 reference statements)

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“…We searched PubMed, Scopus, and the Web of Science for all consecutive cases of fetal axillary cystic hygroma or lymphangioma as well as hemangiolymphangioma. Up to May 2017, 25 cases of axillary lymphangioma were published, as presented in Table . The review included only cystic hygromas and lymphangiomas mainly located at the axilla, but they might extend to the chest wall, the neck, or even the thorax.…”

Section: Literature Review and Analysismentioning

confidence: 99%

“…Up to May 2017, 25 cases of axillary lymphangioma were published, as presented in Table 1. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] The review included only cystic hygromas and lymphangiomas mainly located at the axilla, but they might extend to the chest wall, the neck, or even the thorax. Together with 5 our own cases, a total of 30 cases were analyzed and summarized as follows: be taken into account for decisions on the route of delivery.…”

Section: Literature Review and Analysismentioning

confidence: 99%

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Natural Course of Fetal Axillary Lymphangioma Based on Prenatal Ultrasound Studies

Tongsong

Luewan

Khorana

et al. 2017

J of Ultrasound Medicine

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This series and literature review aimed to prenatally characterize the nature of axillary lymphangioma. A total of 30 cases, including our 5 cases, were analyzed. Insights gained from this review are as follows: Septate and nonseptate cysts seem to be different entities. The nonseptate type tends to be small and transient but more highly associated with aneuploidies. Septate cysts are very rarely associated with other abnormalities and hydrops fetalis, unlike cystic hygroma colli, but are more progressive with gestational age and associated with adverse outcomes. The cases with high flow have a higher risk of intralesional hemorrhage. Prenatal diagnosis is important for the route of timely delivery and possibly prenatal interventions. Shoulder dystocia is common and should always be taken into account for decisions on the route of delivery.

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Section: Literature Review and Analysismentioning

confidence: 99%

Section: Literature Review and Analysismentioning

confidence: 99%

Natural Course of Fetal Axillary Lymphangioma Based on Prenatal Ultrasound Studies

Tongsong

Luewan

Khorana

et al. 2017

J of Ultrasound Medicine

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“…The prenatal imaging diagnosis of axillary lymphatic malformations and lymphatic malformations at any other location has been available for three decades, but the current availability of high-definition fetal MRI allows characterization of these lesions with an unprecedented degree of detail [4][5][6]. In the case of axillary lymphatic malformations, the MRI can precisely determine if there is extension of the mass along the chest wall, any extension toward the mediastinum, the degree of proximity to the brachial plexus, and most importantly, the presence of deep cervical extensions that can potentially compromise the airway at birth.…”

Section: Discussionmentioning

confidence: 99%

Axillary lymphatic malformations: Prenatal evaluation and postnatal outcomes

Olive

Moldenhauer

Laje

et al. 2015

Journal of Pediatric Surgery

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“…The present case was confirmed by postnatal physical examination and CT scans. The size of the tumor varies from small collections of fluid to enormous cysts that may be larger than the fetus 9 …”

Section: Discussionmentioning

confidence: 99%

Giant fetal axillo‐thoracic cystic hygroma associated with ipsilateral foot anomalies

Atalar

Çetin

Kelkit

et al. 2006

Pediatrics International

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Fetal cystic hygromas (CH) are congenital malformations of the lymphatic system appearing as single or multiloculated fl uid-fi lled cavities. 1 Most CH are found in the neck; other rare locations include axilla, mediastinum, and limbs. They often progress to hydrops fetalis and cause fetal death. There is a high prevalence of associated chromosomal abnormalities, Turner's syndrome being the most common. 2 We present a case of fetal axillo-thoracic CH associated with ipsilateral foot anomalies diagnosed antenatally followed by full-term delivery in a 33-year-old woman. Case reportA 33-year-old woman, gravida 4 para 3 underwent ultrasound at 32 weeks' gestation to verify the age of the fetus. There was no family history of congenital anomalies. The patient's antepartum course had been unremarkable. Ultrasound evaluation, performed in the Department of Radiology, Cumhuriyet University Hospital, Sivas, Turkey at 32 weeks' gestation, showed a single male fetus (cephalic presentation, posterior placenta, normal amniotic fl uid and three-vessel umblical cord). Head circumference, biparietal diameter, bilateral femur lenghts and abdominal circumference measurements were compatible with 32 weeks' of gestation. Sonography was performed with a Powervision 6000 (Toshiba, Tokyo, Japan) ultrasound scanner and 4 MHz sector transducer. Morphological evaluation showed a multiseptated cystic mass measuring 12 cm at its largest diameter on the fetal left side, involving the left axillary region and the lateral chest wall, and surrounding the left humerus ( Fig. 1). The mass contained a single dominant thin -walled, multisepta loculation. The cystic lesions showed no relation with the fetal spine. Repeated sonographic scans at 34 and 37 gestational weeks did not demonstrate any enlargement of the cystic mass. No vascular signal was found at Doppler color fl ow mapping. No additional fetal structural anomalies were visualized. The chromosomal analysis of amniotic fl uid cells showed a normal 46,XY karyotype. A cesarean section was performed, and a male infant was delivered with normal Apgar score at 40 weeks. He had an Apgar index of 8 at 1 min and 10 at 5 min. At birth, his weight was 3150 g, length was 49 cm. Physical examination revealed a large nodular mass in the left axillo-thoracic region ( Fig. 2a). In addition, there was marked hemihypertrophy of the left leg when compared with the right. The skin had a port-wine discoloration. The left foot had macrodactyly with hypertrophy of the fi rst toe, unilateral syndactyly of the second and third toes; the fi rst and second toes were widely spaced ( Fig. 2b ). This combination of features led us to diagnose Proteus syndrome (PS). Abdominal sonography showed that the liver, pancreas, kidneys and spleen were normal. There were no abnormal fi ndings on transfontanellar ultrasonographic evaluation. Forty-eight hours after delivery, chest computed tomography (CT) examination showed a large mass invading the left axillary region and the thoracic wall without extension to the upper neck ...

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Antenatal demonstration of axillary cystic hygroma.

Cited by 19 publications

References 3 publications

Natural Course of Fetal Axillary Lymphangioma Based on Prenatal Ultrasound Studies

Natural Course of Fetal Axillary Lymphangioma Based on Prenatal Ultrasound Studies

Axillary lymphatic malformations: Prenatal evaluation and postnatal outcomes

Giant fetal axillo‐thoracic cystic hygroma associated with ipsilateral foot anomalies

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