Prenatal diagnosis of fetal face hemangioma in a case of Kasabach–Merritt syndrome

Respondek‐Liberska, Maria; Jakubowski, Lucjusz; Jakubek, A.; Maroszyńska, Iwona; Lipka, B.; Dembowska, B.; Milewska-Bobula, Bogumiła; Perek, Danuta; Wilczyński, J

doi:10.1046/j.1469-0705.2002.00731_3.x

Cited by 18 publications

(7 citation statements)

References 9 publications

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“…Localized cranial, facial and cervical hemangiomas of the fetus have been reported. [2][3][4][5][6]13,14 However, as far as we know, there have been no reported cases of a hemangioma that occupies the fetal neck almost entirely.…”

Section: Discussionmentioning

confidence: 99%

“…4,6 Hemangiomas often grow during pregnancy, either gradually or rapidly, and sometimes cause fetal heart failure and non-immune hydrops fetalis. 3,5 In the case of hemangioma, MRI is recommended, especially in the late pregnancy period, because the location, size and characteristics of the growth, as well as associated anatomical problems such as airway obstruction, can be evaluated more precisely. 3 In general, hemangioma in an infant is demonstrated by intermediate signal intensity on T 1 -weighted images and an increased signal on T 2 -weighted images.…”

Section: Discussionmentioning

confidence: 99%

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Giant hemangioma of the fetal neck, mimicking a teratoma

Shiro¹,

Kikuchi²,

Naito³

et al. 2006

J of Obstet and Gynaecol

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We present a case involving a giant hemangioma of the fetal neck, prenatal diagnosis of which was a teratoma. A 32-year-old pregnant woman was referred to our hospital at 31 weeks' gestation owing to a giant solid mass of the fetal neck and excessive amniotic fluid. The mass seemed to be occupying the neck almost entirely, extending to the nasopharyngeal cavity, the mandible, the surface of the left orbit and the left shoulder. Based on sonographic and magnetic resonance imaging (MRI) findings, diagnosis of a giant teratoma was made. Cesarean section was performed at 35.5 weeks' gestation, and a female infant weighing 2826 g was delivered. Purpurae were observed on the neck of the infant, and the tumor turned out to be a hemangioma. Postnatal MRI findings, in which the tumor's signal intensity differed from that of the prenatal findings, were quite compatible with the diagnosis of a typical hemangioma. Laser and corticosteroid treatment successfully decreased the volume of the mass. Although it may not always be possible to make a prenatal differential diagnosis between a hemangioma and a teratoma in the neck of the fetus, serial ultrasound and MRI examination are mandatory to evaluate the prognosis and to plan suitable treatment. Moreover, possible postnatal changes to the tumor characteristics have to be taken into consideration when evaluating the findings of prenatal diagnostic imaging.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant hemangioma of the fetal neck, mimicking a teratoma

Shiro¹,

Kikuchi²,

Naito³

et al. 2006

J of Obstet and Gynaecol

View full text Add to dashboard Cite

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“…9 Increased or pulsatile flow signals in the mass are usually present. 2,10 The presence of flow signals depends on the vascular type, amount of arteriovenous shunting, and proliferation of endothelial cells. 11 In contrast, the prenatal sonographic features of capillary hemangiomas are not well described.…”

Section: Discussionmentioning

confidence: 99%

Fetal Neck Capillary Hemangioma Associated With Kasabach-Merritt Syndrome

Tsukimori¹,

Hojo²,

Kawarabayashi³

et al. 2007

Journal of Ultrasound in Medicine

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“…1-5 Prenatally depicted malformations may be seen in association with more complex fetal conditions, including Klippel-Trenaunay-Weber (angio-osteohypertrophy) and Proteus syndromes. [6][7][8][9] We present an unusual case in which extensive multiple soft tissue tumors encompassing the fetal upper chest, back, nuchal area, and bilateral axillae, considered consistent with multiple large lymphatic malformations noted at 23 weeks' gestation, decreased in size throughout the remainder of gestation. At delivery, relatively small subcutaneous masses remained.…”

mentioning

confidence: 94%

Prenatal Sonographic Findings of Extensive Low-Flow Mixed Lymphatic and Venous Malformations

Sherer

Perenyi²,

Glick³

et al. 2006

Journal of Ultrasound in Medicine

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renatal sonographic diagnoses of subcutaneous soft tissue masses include hemangiomas, malformations (capillary, lymphatic, venous, arterial, or mixed), teratomas, and, rarely, sarcomas. 1-5 Prenatally depicted malformations may be seen in association with more complex fetal conditions, including Klippel-Trenaunay-Weber (angio-osteohypertrophy) and Proteus syndromes. [6][7][8][9] We present an unusual case in which extensive multiple soft tissue tumors encompassing the fetal upper chest, back, nuchal area, and bilateral axillae, considered consistent with multiple large lymphatic malformations noted at 23 weeks' gestation, decreased in size throughout the remainder of gestation. At delivery, relatively small subcutaneous masses remained. Tissue histopathologic findings obtained at biopsy and the neonate's clinical course during which the subcutaneous masses underwent a marked spontaneous decrease in size, were consistent with low-flow mixed lymphatic and venous malformations.A 29-year-old patient, gravida 3, para 2, was followed during her third pregnancy at the State University of New York Downstate Medical Center. Her medical and obstetric histories were unremarkable, and her current pregnancy was uneventful. Results of second-trimester serum screening for aneuploidy was negative.Sonography at 23 weeks' gestation depicted a singleton vertex-presenting female fetus with normal-appearing fetal anatomy other than extensive multiple semicystic, semisolid subcutaneous masses located on the entire upper anterior chest wall, both axillae, back, and nuchal areas (Figures 1-3). Minimal vascularity was depicted on color Doppler imaging. The estimated fetal weight was 700 g (80th percentile for gestational age).

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Prenatal diagnosis of fetal face hemangioma in a case of Kasabach–Merritt syndrome

Cited by 18 publications

References 9 publications

Giant hemangioma of the fetal neck, mimicking a teratoma

Giant hemangioma of the fetal neck, mimicking a teratoma

Fetal Neck Capillary Hemangioma Associated With Kasabach-Merritt Syndrome

Prenatal Sonographic Findings of Extensive Low-Flow Mixed Lymphatic and Venous Malformations

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