Prenatally diagnosed sacrococcygeal teratoma: a prognostic classification.

Détails

ID Serval
serval:BIB_F1A8F1876298
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Prenatally diagnosed sacrococcygeal teratoma: a prognostic classification.
Périodique
Journal of Pediatric Surgery
Auteur(s)
Benachi A., Durin L., Vasseur Maurer S., Aubry M.C., Parat S., Herlicoviez M., Nihoul-Fekete C., Dumez Y., Dommergues M.
ISSN
1531-5037 (Electronic)
ISSN-L
0022-3468
Statut éditorial
Publié
Date de publication
2006
Volume
41
Numéro
9
Pages
1517-1521
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
PURPOSE: The objective of this study is to describe a prognostic classification for prenatally diagnosed sacrococcygeal teratoma (SCT).
METHODS: Charts from 44 fetuses were reviewed. Three groups were defined as follows: group A--tumor diameter less than 10 cm, absent or mild vascularity and slow growth; group B--diameter 10 cm or greater, pronounced vascularity or high-output cardiac failure and fast growth; group C--diameter 10 cm or greater, predominantly cystic lesion with absent or mild vascularity and slow growth.
RESULTS: Size at diagnosis, growth rate, and vascularity were higher in group B. Gestational age at delivery was lower in group B. Eleven of 21 died in the perinatal period in group B and none in groups A and C. In group C, drainage or shunting of the SCT has been performed in 6 of 10 cases.
CONCLUSIONS: Group A is associated to good maternal and perinatal outcome, as well as group C, although shunting or drainage of the SCT could be necessary. Large fast-growing SCT with rich vascularity is associated with a higher perinatal mortality and morbidity than smaller lesions with mild vascularity.
Mots-clé
Female, Humans, Male, Pregnancy, Prognosis, Retrospective Studies, Sacrococcygeal Region, Soft Tissue Neoplasms/mortality, Soft Tissue Neoplasms/surgery, Teratoma/mortality, Teratoma/surgery, Ultrasonography, Prenatal
Pubmed
Web of science
Création de la notice
19/01/2016 10:22
Dernière modification de la notice
03/03/2018 22:38
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