Oral Mass of a Fetus Incidentally Found during Second Trimester: Ultrasound Survey and Postnatal Prognosis of the Baby

Abstract

Ultrasound (USG) and magnetic resonance imaging (MRI) can be used to detect and evaluate the face and neck tumors during the in-utero period. We reported and discussed an oral mass which was diagnosed incidentally at mid-trimester exam and managed successfully.

Prenatal diagnosis and immediate successful management of isolated fetal epignathus

“…[1] The MRI done before delivery showed no evidence of fetal airway obstruction and/or intracranial extension or central nervous system-related anomalies. [10]…”

Prenatal Diagnosis of Fetal Oral Masses by Ultrasound Combined With Magnetic Resonance Imaging

“…The differential diagnosis of a mass in the oral cavity should include teratoma, epulis, mucosal retention cyst, duplication foregut cysts, dermoid cyst, and other benign or malignant soft-tissue masses. [4][5][6][7][8][9][10] Some studies in the literature have demonstrated that the most common types of fetal oral solid masses were teratoma and epulis. 12 In our series, we reported 6 cases of fetal oral masses, including LM in 2 fetuses and mucosal retention cyst, mature teratoma, immature teratoma, and cranial meningocele in 1 fetus, respectively.…”

“…The earliest diagnosis of fetal oral mass in our study was at 13 weeks of gestation; however, the vast majority of lesions were observed in the second and third trimesters, which suggests that the tumor can develop later in pregnancy. The differential diagnosis of a mass in the oral cavity should include teratoma, epulis, mucosal retention cyst, duplication foregut cysts, dermoid cyst, and other benign or malignant soft‐tissue masses 4–10 . Some studies in the literature have demonstrated that the most common types of fetal oral solid masses were teratoma and epulis 12 .…”

“…Currently, only a few studies (mainly case reports) have addressed the issue of diagnosing fetal oral masses by prenatal US. [4][5][6][7][8][9][10] It is important to make an accurate diagnosis and detailed evaluation of oral masses before birth. The purpose of this retrospective study was to comprehensively describe the imaging features of fetal oral masses on prenatal US and MRI and to discuss their differential diagnoses, with the aim of assisting in the manage-ment and counseling of pregnancies affected by this condition.…”

“…Thus, prenatal diagnosis has become more important to enable prompt and valid management of the fetus and newborn as well as accurate parental counseling regarding its consequences and the future of their baby. Currently, only a few studies (mainly case reports) have addressed the issue of diagnosing fetal oral masses by prenatal US 4–10 . It is important to make an accurate diagnosis and detailed evaluation of oral masses before birth.…”