Foetal intrapericardial teratoma

Molina-Mora, María J.; Picazo-Antolín, Beatriz; Cuenca-Peiró, Victorio; Gil-Jaurena, Juan-Miguel; Zabala-Argüelles, Juan Ignacio

doi:10.1093/ejechocard/jer057

Cited by 2 publications

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“…The gross pathology of the teratomas was reported for 33 (60 %) cases: 18 (54.5 %) were cystic [9-13, 16-22, 25, 27, 32-38, 40, 42, 43, 45-47, 50, 51]; 2 (6.1 %) were cystic with solid areas [23,41]; 1 (3.0 %) was solid [28]; and 12 (36.4 %) were solid with cystic components [14, 15, 24, 26, 29-31, 38, 39, 48, 49]. The histology of the tumors was reported for 47 (85.5 %) cases: 12 (25.5 %) were mature [10,14,15,21,25,31,32,[34][35][36]46]; 14 (29.8 %) were immature [9,11,12,16,22,24,28,33,38,39,41,[49][50][51]; 10 (21.3 %) were mixed mature and immature with a predominance of mature cells [13, 18, 23, 26, 29, 30, 38, 41, 42, ]; 4 (8.5 %) were mixed mature and immature with a predominance of immature components; and 3 (6.4 %) were unspecified teratomas [17,20,27].…”

Section: Resultsmentioning

confidence: 99%

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Fetal Intrapericardial Teratomas: An Update

Yuan

2020

Z Geburtshilfe Neonatol

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Fetal intrapericardial teratomas are rare and benign cardiac tumors. By comprehensive literature retrieval of the pertinent articles published since 2000, 49 articles with 61 cases of intrapericadial teratomas were recruited into this study. The intrapericardial teratomas were found during pregnancy in 55 cases (fetal group), while the tumors were detected until neonatal period in 6 cases (neonatal group). In the fetal group, 15 cases were critical with fetal/neonatal respiratory distress or cardiac tamponade. Antenatal treatments including centesis, shunt placement, open fetal surgery and the ex utero intrapartum treatment were required in 24 (43.6%) fetal cases. Postnatal intubation was required in 19 cases with 18 of them having immediate intubation after birth. Postnatal tumor resection was performed in 41 (95.3%) cases. In neonatal group, 4 neonates had respiratory distress and/or cardiac tamponade. Neonatal intubation was required in 1 (16.7%) patient. Surgical tumor resection was performed in all 6 patients. A comparison between the fetal and neonatal groups revealed that the fetal group was associated with higher refractory effusions while the neonatal group had a higher incidence of respiratory distress. Although the all cause death rate was higher in the fetal group than in the neonatal (25.5 vs. 0%), but lack of a statistical significance. Antenatal treatments for fetal intrapericardial teratomas are feasible but carry higher risks in comparison to neonatal cases.

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Section: Resultsmentioning

confidence: 99%

“…▶Fig. 1 The decreasing trend of the α-fetoprotein level from birth to 6 months after tumor resection in newborns in whom an intrapericardial teratoma was detected during fetal life [9,13,19,22,24,32,33,35,42]. m, month.…”

Section: Discussionmentioning

confidence: 99%

Fetal Intrapericardial Teratomas: An Update

Yuan

2020

Z Geburtshilfe Neonatol

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Ablación láser percutánea de un teratoma cardiaco fetal y revisión de la literatura

Molina

Romero

Acosta

et al. 2012

Diagnóstico Prenatal

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Los teratomas cardiacos son tumores benignos aunque la mitad de los fetos afectos por ellos mueren intraútero debido a taponamiento cardiaco e hidropesía fetal. En algunos casos se ha documentado una mejoría del pronóstico fetal tras el drenaje intrauterino de la efusión pericárdica. Exponemos un caso de teratoma cardiaco diagnosticado en la semana 30 de embarazo con signos de taponamiento cardiaco que fue tratado intraútero de forma percutánea mediante ablación láser de la lesión bajo control ecográfico y pericardiocentesis. El feto nació mediante cesárea electiva en la semana 35 realizándose cirugía resectiva tumoral postnatalmente. La ablación láser de la lesión puede enlentecer el crecimiento tumoral y la re-acumulación de líquido pericárdico.

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Foetal intrapericardial teratoma

Cited by 2 publications

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Fetal Intrapericardial Teratomas: An Update

Fetal Intrapericardial Teratomas: An Update

Ablación láser percutánea de un teratoma cardiaco fetal y revisión de la literatura

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