Cutaneous hemangioma of the thigh: prenatal diagnosis

Abstract

We report a case of cutaneous hemangioma of the thigh detected by prenatal ultrasound. A hypoechoic homogeneous mass, filled with low-density echoes, was visualized on the posterior aspect of the right thigh, close to the genital region, at 36 weeks. Low-velocity arterial flow was detected within the mass by color and pulsed Doppler and the diagnosis of cutaneous hemangioma was suspected. No other anomalies were detected and the pregnancy evolved uneventfully to term. The prognosis and management of this condition are discussed.

HDlive Imaging of a Giant Fetal Hemangioma

“…Infantile hemangiomas represent the most common vascular tumor in infants, and they start to proliferate after birth, whereas congenital hemangiomas are less common, and they start their growth in utero until they reach their maximum size at birth 1 . There have been numerous reports on antenatal diagnosis of congenital hemangiomas using 2‐dimensional (2D), 3‐dimensional (3D), and 4‐dimensional sonography as well as magnetic resonance imaging 2 – 6 ; however, to the best of our knowledge, the use of HD live (GE Healthcare, Milwaukee, WI) and HD live silhouette mode imaging for the prenatal diagnosis of a congenital hemangioma has not been reported previously.…”

Hemangioma cutáneo gigante en extremidad inferior fetal con diagnóstico ecográfico prenatal: reporte de un caso

“…A pesar de su elevada frecuencia y a que hasta el 50% de estas lesiones se encuentran presentes en el momento del nacimiento, los casos descritos en la literatura son más bien escasos, de hecho en las últimas 2 décadas sólo encontramos en la búsqueda medline 3 casos clínicos relacionados con diagnóstico prenatal de hemangiomas gigantes en extremidad fetal (5,6,7); si bien es cierto que el 80% de los hemangiomas son solitarios, de pequeño tamaño y presentan una involución espontanea, existe un 20% de hemangiomas complicados, con posibilidad de provocar graves complicaciones que comprometan la vida del recién nacido o alterar el funcionamiento permanentemente de algún órgano (8).…”

Prenatal detection of a giant bilateral thoracic vascular lesion: prognostic evaluation and genetic aspects

“…The majority of vascular lesions with prenatal onset are diagnosed at birth or later in infancy (Vellodi and Bini, 1988). Only a minority of fetal vascular anomalies are detected in late pregnancy, mostly in the third trimester (Saharara and Khoury, 1994;Goncalves et al, 1997) and only very rarely such lesions are detected at earlier gestational ages (Bronshtein et al, 1992;Boon et al, 1996).…”

“…Late manifesting vascular lesions mostly have a good prognosis (Goncalves et al, 1997), provided that no shunting leads to fetal hydrops with a high mortality rate (Daniel and Cassady, 1968;McGahan and Schneider, 1986;Lofland and Filsten, 1987). An increased fetal heart frequency was interpreted as a sign of increased fetal oxygen and nutrient consumption due to the monstrous tumour.…”

“…Vascular tumours, occasionally complicated by the Kasabach-Merritt phenomenon (Rodriguez-Erdmann et al, 1970;Tanaka et al, 1986) after delivery, may present in different fetal organs, e.g. in the liver (Dachmann et al, 1983), the spleen (Sencer et al, 1987), the brain (Hashimoto et al, 1997) and often in the skin (Lofland and Filsten, 1987;Vellodi and Bini, 1988;Treadwell et al, 1993;Goncalves et al, 1997).…”