Sonographic diagnosis of cervical teratoma in utero

Patel, R; Jy, Gibson; Ca, D'Cruz; Burkhalter, J. F.

doi:10.2214/ajr.139.6.1220

Cited by 14 publications

(4 citation statements)

References 5 publications

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“…In contrast to our report, most of the cases reported in literature have been diagnosed in the late second and third trimester of pregnancy [5,7,[12][13][14]. Sherer et al reported a case of cervical teratoma at 18 weeks gestation with subsequent termination of pregnancy [15].…”

Section: Discussioncontrasting

confidence: 96%

Prenatal Sonographic and MRI Assessment of Early Fetal Neck Immature Teratoma

Kapoor¹,

Kapoor²,

Kapoor³

et al. 2021

Journal of Fetal Medicine

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We report a case of a pregnancy involving a fetal neck mass which was diagnosed at 19 weeks of gestation. Three dimensional ultrasound provided detailed additional information about the extent of the lesion and the areas of involvement. Color Doppler revealed intense vascularity within the lesion, with both arterial and venous flow. Fetal MRI revealed the exact extent of the lesion along with deep seated structures involved. Diffusion weighted images revealed restricted diffusion with low ADC values suggesting a mitotic etiology. The patient along with her husband decided to abort the fetus. An infantogram of the abortus was taken. Histopathology and immunohistochemistry was performed. The final diagnosis was immature teratoma.

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Section: Discussioncontrasting

confidence: 96%

Prenatal Sonographic and MRI Assessment of Early Fetal Neck Immature Teratoma

Kapoor¹,

Kapoor²,

Kapoor³

et al. 2021

Journal of Fetal Medicine

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“…Plain X-rays and ultrasonography reveal solid and cystic structures within a heterogeneous mass with calcifications in up to 50% of cases [17][18][19][20][21][22][23][24]. The extent of vascularization can be assessed by Doppler flow imaging [25].…”

Section: Discussionmentioning

confidence: 99%

Teratomas of the neck and mediastinum in children

et al. 2006

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This retrospective study reviews a series of teratomas of the neck and mediastinum aiming at defining the features of these particular locations. We recorded prenatal diagnosis, perinatal management, clinical and radiologic features, pathology, surgical strategies and results in cervical and mediastinal teratomas treated over the last 10 years. During this period we treated 66 children with teratoma of which 11 (6 male and 5 female) had cervicomediastinal locations. Five babies had cervical teratomas extended into the anterior mediastinum in two cases. Prenatal diagnosis was made in three (two with polyhydramnios). Four babies were born by C-section and only one had a successful EXIT procedure. The diagnosis was confirmed by imaging and increased AFP. Surgical treatment involved total tumor removal and in one case subsequent removal of lymph node metastases. All children survived except one in whom airway could not be cleared at birth. Two children bear mild hypothyroidism. During the same period six patients aged 0-17 years were treated for mediastinal teratoma. Only one was prenatally diagnosed and only two had some dyspnea. Removal was performed either by median sternotomy, thoracotomy, or thoracoscopy. They all survive and are free of disease. Teratomas of the neck may cause fetal disease and unmanageable neonatal airway obstruction. Prenatal diagnosis and planned multidisciplinary management are mandatory at birth. In contrast, only some mediastinal tumors cause respiratory embarrassment. Although benign, these tumors are sometimes immature and may metastasize to regional lymph nodes. Total surgical removal is curative. Thyroid insufficiency may be present at birth in cervical teratomas and may be aggravated by surgery.

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“…Congenital teratomas may occasionally involve the neck but are not generally known to involve the axilla or chest wall n,u Teratomas that have been identified on antenatal sonography have also been largely or partially solid in consistency. 13 Hemangioendothelioma, an extremely rare cervical tumor, should also demonstrate more solid components than the cystic hygroma. u o.H Gastroschisis or omphalocele are usually clearly abdominal wall in origin and associated with extrusion of abdominal contents and consequent abdominal deformity.…”

Section: Discussionmentioning

confidence: 99%