Olgu Sunumu
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Prenatal Ultrasound Diagnosis of Immature Teratoma in the Fetal Neck Case Report

Yıl 2020, Cilt: 12 Sayı: 1, 19 - 22, 30.04.2020
https://doi.org/10.35514/mtd.2020.24

Öz

Teratomas and other germ cell tumors are common pediatric neoplasms. They can show gonadal and extragonadal location. Congenital teratomas on the neck are very rare. Imaging methods provide early diagnosis and in addition, it is important to predict complications that may be associated with the anomaly and to plan postpartum treatment. In this case, prenatal sonographic features, differential diagnosis and the importance of imaging methods in early diagnosis and treatment of teratoma in the fetal neck are presented. The case was referred to us at 37 weeks of gestation. In the ultrasonography we performed, we detected a solid mass in the fetal neck. The patient was delivered by emergency cesarean section at 38 weeks. The baby was operated on the 6th day after birth. The pathology result was compatible with immature teratoma.

Kaynakça

  • Gupta A, Maddalozzo J, Win Htin T, et al. Spindle cell rhabdomyosarcoma of the tongue in an infant: a case report with emphasis on differential diagnosis of childhood spindle cell lesions. Pathol Res Pract. 2004;200:537–43.
  • Rauff S, Kien TE. Ultrasound diagnosis of fetal neck masses: a case series. Case Rep Obstet Gynecol. 2013;2013:243590.
  • Güzelmansur I, Aksoy HT, Hakverdi S, et al. Fetal cervical neuroblastoma: prenatal diagnosis. Case Rep Med. 2011;2011:529749.
  • Cass DL. Impact of prenatal diagnosis and therapy on neonatal surgery. Semin Fetal Neonatal Med. 2011;16:130–8.
  • Tonni G, De Felice C, Centini G, et al. Cervical and oral teratoma in the fetus: a systematic review of etiology, pathology, diagnosis, treatment and prognosis. Arch Gynecol Obstet. 2010;282:355–61.
  • Herman TE, Siegel MJ. Imaging case book: cervical teratoma. JPerinatol 2008;28L:649–51.
  • Catte LD, De Backer A, Goosens A, et al. Teratoma, neck. The fetus. Sono World 1992;01:15–20.
  • Rempen A, Feige A. Differential diagnosis of sonographically detected tumours in the fetal cervical region. Eur J Obstet GynecolReprod Biol 1985;20:89–105.
  • Paladini D, Volpe P. Ultrasound of congenital fetal anomalies. Florida, USA: CRC Press; 2014:137-41.
  • Azizkhan RG, Haase GM, Applebaum H, et al. Diagnosis, management and outcome of cervicofacial teratomas in neonates: A Childrens Cancer Group Study. J Pediatr Surg 1995;30:312-316.
  • Hirose S, Sydorak RM, Tsao K, et al. Spectrum of intrapartum management strategies for giant fetal cervical teratoma. J Pediatr Surg 2003;38:446-450.
  • Mohammad MA. Thyroid cervico-thoracic teratoma in a 14-month old child. Afr J Paediatr Surg 2010;7:117–9.

Fetal Boyundaki İmmatür Teratomun Prenatal Ultrason Tanısı Olgu Sunumu

Yıl 2020, Cilt: 12 Sayı: 1, 19 - 22, 30.04.2020
https://doi.org/10.35514/mtd.2020.24

Öz

Teratomlar ve diğer germ hücreli tümörler yaygın görülen pediatrik neoplazmalardır. Gonadal ve extragonadal yerleşim gösterebilirler. Boyundaki konjenital teratomlar çok nadir görülmektedir. Görüntüleme yöntemleri erken teşhisi sağlar ve buna ek olarak anomaliyle ilişkili olabilecek komplikasyonları önceden öngörmek ve doğum sonrası tedaviyi planlamak için önemlidir. Bu olguda fetal boyundaki teratomun prenatal sonografik özellikleri, ayırıcı tanısı ve görüntüleme yöntemlerinin erken tanı ve tedavideki önemi sunulmaktadır. 37. gebelik haftasında olgu tarafımıza yönlendirildi. Yaptığımız ultrasonografide fetal boyunda solid kitle tespit ettik. Hasta 38. haftada acil olarak sezaryen ile doğurtuldu. Bebek doğumdan sonra 6. günde opere edildi. Patoloji sonucu immatür teratoma ile uyumlu geldi.

Kaynakça

  • Gupta A, Maddalozzo J, Win Htin T, et al. Spindle cell rhabdomyosarcoma of the tongue in an infant: a case report with emphasis on differential diagnosis of childhood spindle cell lesions. Pathol Res Pract. 2004;200:537–43.
  • Rauff S, Kien TE. Ultrasound diagnosis of fetal neck masses: a case series. Case Rep Obstet Gynecol. 2013;2013:243590.
  • Güzelmansur I, Aksoy HT, Hakverdi S, et al. Fetal cervical neuroblastoma: prenatal diagnosis. Case Rep Med. 2011;2011:529749.
  • Cass DL. Impact of prenatal diagnosis and therapy on neonatal surgery. Semin Fetal Neonatal Med. 2011;16:130–8.
  • Tonni G, De Felice C, Centini G, et al. Cervical and oral teratoma in the fetus: a systematic review of etiology, pathology, diagnosis, treatment and prognosis. Arch Gynecol Obstet. 2010;282:355–61.
  • Herman TE, Siegel MJ. Imaging case book: cervical teratoma. JPerinatol 2008;28L:649–51.
  • Catte LD, De Backer A, Goosens A, et al. Teratoma, neck. The fetus. Sono World 1992;01:15–20.
  • Rempen A, Feige A. Differential diagnosis of sonographically detected tumours in the fetal cervical region. Eur J Obstet GynecolReprod Biol 1985;20:89–105.
  • Paladini D, Volpe P. Ultrasound of congenital fetal anomalies. Florida, USA: CRC Press; 2014:137-41.
  • Azizkhan RG, Haase GM, Applebaum H, et al. Diagnosis, management and outcome of cervicofacial teratomas in neonates: A Childrens Cancer Group Study. J Pediatr Surg 1995;30:312-316.
  • Hirose S, Sydorak RM, Tsao K, et al. Spectrum of intrapartum management strategies for giant fetal cervical teratoma. J Pediatr Surg 2003;38:446-450.
  • Mohammad MA. Thyroid cervico-thoracic teratoma in a 14-month old child. Afr J Paediatr Surg 2010;7:117–9.
Toplam 12 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Olgu Sunumu
Yazarlar

Cem Yener

Gülizar Füsun Varol

Havva Sütçü Bu kişi benim 0000-0003-2028-340X

Esra Altan Erbilen

Sinan Ateş

Cenk Sayın Bu kişi benim 0000-0002-3976-4492

Yayımlanma Tarihi 30 Nisan 2020
Gönderilme Tarihi 9 Aralık 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 12 Sayı: 1

Kaynak Göster

Vancouver Yener C, Varol GF, Sütçü H, Altan Erbilen E, Ateş S, Sayın C. Fetal Boyundaki İmmatür Teratomun Prenatal Ultrason Tanısı Olgu Sunumu. Maltepe tıp derg. 2020;12(1):19-22.