EP17.25: Giant sacrococcygeal teratoma: early ultrasound detection and bad prognostic ecographic signs

Pelayo, I.; Sancho, José; Abarca, L.L.; Cabezas, E.; Lázaro, José

doi:10.1002/uog.21466

Ultrasound in Obstet & Gyne

2019

DOI: 10.1002/uog.21466

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EP17.25: Giant sacrococcygeal teratoma: early ultrasound detection and bad prognostic ecographic signs

I. Pelayo

José Sancho

L.L. Abarca

et al.

Abstract: Objectives: To analyse the ultrasonic manifestations of fetal pulmonary sequestration (PS) and investigate the diagnosis value of colour Doppler ultrasound for the fetal PS.

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2024

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Perinatal Outcomes of Intrauterine Interventions for Fetal Sacrococcygeal Teratoma Based on Different Surgical Techniques—A Systematic Review

Konno,

Okpaise,

Sbragia

et al. 2024

JCM

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Background: This study aims to evaluate the outcomes of fetal sacrococcygeal teratoma (SCT) submitted to prenatal interventions. Methods: We performed a systematic literature review of fetal SCT patients and compared the outcomes between open fetal surgery and percutaneous intervention. In addition, we also compared the results of SCT fetuses who did not undergo any surgical intervention (NI). Results: We identified 16 cases of open fetal surgery (OS), 48 cases of percutaneous fetal intervention (PI), and 93 NI patients. The survival rate was 56.2% in OS, 45.8% in PI (p = 0.568), and 71.0% in NI patients. The gestational age at delivery was earlier in cases where there was no survival compared to cases where the fetuses did survive across all evaluated cohorts (OS: p = 0.033, PI: p < 0.001, NI: p < 0.001). The gestational weeks at delivery in OS and PI fetuses were more similar; however, OS tended to be performed later on in pregnancy, and the affected fetuses had more severe presented findings. In our evaluation, we determined that the presence of fetal hydrops and cardiac failure had no significant impact on survival in SCT cases. In NI patients, polyhydramnios was much higher in fetuses who did not survive compared to their surviving cohorts (p < 0.001). Conclusions: In conclusion, gestational age at delivery can affect the short-term prognosis of fetuses affected with sacrococcygeal teratomas. Regardless of the mode of delivery or the necessity for intervention during the fetal period, monitoring for complications, including polyhydramnios, can prevent premature delivery.

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Perinatal Outcomes of Intrauterine Interventions for Fetal Sacrococcygeal Teratoma Based on Different Surgical Techniques—A Systematic Review

Konno,

Okpaise,

Sbragia

et al. 2024

JCM

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EP17.25: Giant sacrococcygeal teratoma: early ultrasound detection and bad prognostic ecographic signs

Abstract: Objectives: To analyse the ultrasonic manifestations of fetal pulmonary sequestration (PS) and investigate the diagnosis value of colour Doppler ultrasound for the fetal PS.

Cited by 1 publication

References 0 publications

Perinatal Outcomes of Intrauterine Interventions for Fetal Sacrococcygeal Teratoma Based on Different Surgical Techniques—A Systematic Review

Perinatal Outcomes of Intrauterine Interventions for Fetal Sacrococcygeal Teratoma Based on Different Surgical Techniques—A Systematic Review

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