Cargando…

Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography

Sacrococcygeal teratoma accounts for half of all fetal tumors, with a prevalence of 1 : 40,000 births. It is believed to originate from pluripotent cells in Hensen's nodule. Although most are benign, they are associated with high morbidity and mortality rates because the fetus develops congesti...

Descripción completa

Detalles Bibliográficos
Autores principales: Rios, Livia Teresa Moreira, Araujo Júnior, Edward, Nardozza, Luciano Marcondes Machado, Moron, Antonio Fernandes, Martins, Marília da Glória
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3423792/
https://www.ncbi.nlm.nih.gov/pubmed/22924141
http://dx.doi.org/10.1155/2012/131369
_version_ 1782241150320508928
author Rios, Livia Teresa Moreira
Araujo Júnior, Edward
Nardozza, Luciano Marcondes Machado
Moron, Antonio Fernandes
Martins, Marília da Glória
author_facet Rios, Livia Teresa Moreira
Araujo Júnior, Edward
Nardozza, Luciano Marcondes Machado
Moron, Antonio Fernandes
Martins, Marília da Glória
author_sort Rios, Livia Teresa Moreira
collection PubMed
description Sacrococcygeal teratoma accounts for half of all fetal tumors, with a prevalence of 1 : 40,000 births. It is believed to originate from pluripotent cells in Hensen's nodule. Although most are benign, they are associated with high morbidity and mortality rates because the fetus develops congestive heart failure and hydrops. Factors leading to poor prognosis include solid components in the mass, and hydrops diagnosed before the 30th week. A case of prenatal sacrococcygeal teratoma diagnosed using B-mode and color Doppler two-dimensional ultrasonography (2DUS) is described, in which three-dimensional ultrasonography (3DUS) enabled characterization of the extent of fetal lesions and allowed the parents to understand the pathological condition better. A 20-year-old primigravida was referred with a solid mass diagnosed in the lumbosacral spine. Examinations performed at our institution revealed pregnancy of 23 weeks and 4 days, with a female fetus presenting a bulky solid mass with cystic components and calcifications, measuring 7.7 × 9.1 × 12.2 cm, starting from the sacral region, with internal flow seen on color Doppler. A new ultrasound confirmed fetal death at 25 weeks and 4 days. Postnatal findings confirmed the diagnosis of sacrococcygeal teratoma. 3DUS can be used in cases of sacrococcygeal teratoma to assess the development of tumor during the prenatal and to allow better understanding of this anomaly by the parents.
format Online
Article
Text
id pubmed-3423792
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-34237922012-08-24 Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography Rios, Livia Teresa Moreira Araujo Júnior, Edward Nardozza, Luciano Marcondes Machado Moron, Antonio Fernandes Martins, Marília da Glória Case Rep Obstet Gynecol Case Report Sacrococcygeal teratoma accounts for half of all fetal tumors, with a prevalence of 1 : 40,000 births. It is believed to originate from pluripotent cells in Hensen's nodule. Although most are benign, they are associated with high morbidity and mortality rates because the fetus develops congestive heart failure and hydrops. Factors leading to poor prognosis include solid components in the mass, and hydrops diagnosed before the 30th week. A case of prenatal sacrococcygeal teratoma diagnosed using B-mode and color Doppler two-dimensional ultrasonography (2DUS) is described, in which three-dimensional ultrasonography (3DUS) enabled characterization of the extent of fetal lesions and allowed the parents to understand the pathological condition better. A 20-year-old primigravida was referred with a solid mass diagnosed in the lumbosacral spine. Examinations performed at our institution revealed pregnancy of 23 weeks and 4 days, with a female fetus presenting a bulky solid mass with cystic components and calcifications, measuring 7.7 × 9.1 × 12.2 cm, starting from the sacral region, with internal flow seen on color Doppler. A new ultrasound confirmed fetal death at 25 weeks and 4 days. Postnatal findings confirmed the diagnosis of sacrococcygeal teratoma. 3DUS can be used in cases of sacrococcygeal teratoma to assess the development of tumor during the prenatal and to allow better understanding of this anomaly by the parents. Hindawi Publishing Corporation 2012 2012-08-09 /pmc/articles/PMC3423792/ /pubmed/22924141 http://dx.doi.org/10.1155/2012/131369 Text en Copyright © 2012 Livia Teresa Moreira Rios et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rios, Livia Teresa Moreira
Araujo Júnior, Edward
Nardozza, Luciano Marcondes Machado
Moron, Antonio Fernandes
Martins, Marília da Glória
Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography
title Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography
title_full Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography
title_fullStr Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography
title_full_unstemmed Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography
title_short Prenatal Diagnosis of Sacrococcygeal Teratoma Using Two and Three-Dimensional Ultrasonography
title_sort prenatal diagnosis of sacrococcygeal teratoma using two and three-dimensional ultrasonography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3423792/
https://www.ncbi.nlm.nih.gov/pubmed/22924141
http://dx.doi.org/10.1155/2012/131369
work_keys_str_mv AT riosliviateresamoreira prenataldiagnosisofsacrococcygealteratomausingtwoandthreedimensionalultrasonography
AT araujojunioredward prenataldiagnosisofsacrococcygealteratomausingtwoandthreedimensionalultrasonography
AT nardozzalucianomarcondesmachado prenataldiagnosisofsacrococcygealteratomausingtwoandthreedimensionalultrasonography
AT moronantoniofernandes prenataldiagnosisofsacrococcygealteratomausingtwoandthreedimensionalultrasonography
AT martinsmariliadagloria prenataldiagnosisofsacrococcygealteratomausingtwoandthreedimensionalultrasonography