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Anterior Cystic Hygroma with Normal Karyotype

Year 2012, Volume: 4 Issue: 1, 41 - 42, 01.04.2012

Abstract

Cystic hygroma is a rare congenital cystic mass associated mostly with chromosal abnormalities and located 80% at the posterior cervical portion of the neck. This case is presented due to the atypical anterior location of the cystic hygroma and normal karyotype of the fetus. A 32 year old, multigravid womans' male infant with anterior cervical cystic mass under chin was diagnosed at 17th week of gestation After birth sclerosan injection therapy applied at another pediatric clinic. After several times of injections the mass decreased in size that it does not obstruct respiration anymore. Baby is now 15 months old. His neurologic development is 3 months retarded than normal age and one side blindness observed. Fetuses with cystic hygroma are at high risk for adverse outcomes and detailed prenatal diagnosis including karyotyping should be offered. Cystic hygroma should be kept in mind at all neck masses even the karyotype is normal or location of mass is atypic for cystic hygroma.

References

  • 1. Chervenak FA, Isaacson G, Blakemore KJ, et al. Fetal cystic hygroma. Cause and natural history.N Engl J Med. 1983;6:822-825.
  • 2. Chen CP, Wang W, Lin SP, Sheu JC, Tzen CY. Favorable outcome in a fetus with and early-onset extensive cystic hygroma colli and intralesional hemorrhage. Am J Perinatol 1998;15: 601-605.
  • 3. Tanriverdi HA, Ertan AK, Hendrik HJ, Remberger K, Schmidt W. Outcome of cystic hygroma in fetuses with normal karyotypes depends on associated findings. Eur J Obstet Gynecol Reprod Biol. 2005 Jan 10;118:40-46
  • 4. Onur MR, Özel K, Demir F, Özdemir H Dev Kistik Higroma: US ve MRG Özellikleri F.Ü. Sa¤ Bil Derg 2007;21:141-144.

Anterior Lokalizasyonlu Kistik Higroma

Year 2012, Volume: 4 Issue: 1, 41 - 42, 01.04.2012

Abstract

Kistik higroma fetal dönemde %80 posterior servikal bölgede görülen kromozomal anomalilerle birlikteliği olan yapısal konjenital anomalidir. Bu yazıda anterior lokalizasyon gösteren normal karyotipli kistik higroma olgusu sunulmaktadır. 32 yaşında multigravid hastanın ikinci gebeliğinin 17. haftasında anterior çene kitlesi olan erkek fetus tespit edildi. Normal karyotipi olan fetus postpartum solonumu tıkayan kistik higroma nedeniyle başka merkezde sklerozan terapi aldı.. Şu anda 15 aylık olan fetusun tek gözde körlük dışında nörolojik gelişimi 3 ay geriden gelmektedir. Kistik higroması olan fetuslar normal karyotipte olsa bile olumsuz perinatl sonuçları olan bir durumdur. Bu yüzden antenatal boyun kitlesi tanısı alan fetuslarda karyotipleme normal olsa bile kistik higroma ve olumsuz perinatal sonuçlar akılda tutulmalıdır.

References

  • 1. Chervenak FA, Isaacson G, Blakemore KJ, et al. Fetal cystic hygroma. Cause and natural history.N Engl J Med. 1983;6:822-825.
  • 2. Chen CP, Wang W, Lin SP, Sheu JC, Tzen CY. Favorable outcome in a fetus with and early-onset extensive cystic hygroma colli and intralesional hemorrhage. Am J Perinatol 1998;15: 601-605.
  • 3. Tanriverdi HA, Ertan AK, Hendrik HJ, Remberger K, Schmidt W. Outcome of cystic hygroma in fetuses with normal karyotypes depends on associated findings. Eur J Obstet Gynecol Reprod Biol. 2005 Jan 10;118:40-46
  • 4. Onur MR, Özel K, Demir F, Özdemir H Dev Kistik Higroma: US ve MRG Özellikleri F.Ü. Sa¤ Bil Derg 2007;21:141-144.
There are 4 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Aygen Çelik This is me

Erdin İlter This is me

Berna Haliloğlu This is me

Tonguç Gündüz This is me

İpek Ulu This is me

H. Serpil Bozkurt This is me

Ümit Özekici This is me

Publication Date April 1, 2012
Published in Issue Year 2012 Volume: 4 Issue: 1

Cite

Vancouver Çelik A, İlter E, Haliloğlu B, Gündüz T, Ulu İ, Bozkurt HS, Özekici Ü. Anterior Lokalizasyonlu Kistik Higroma. Maltepe tıp derg. 2012;4(1):41-2.