Fetal Axillary Cystic Hygroma; a case report and review

The Cystic Hygroma (CH) is a lymphatic malformation occurring different parts of fetal body, typically in the region of the fetal neck and axillary, abdominal wall, mediastinal, inguinal and retroperitoneal areas. CH has been associated with fetal aneuploidy, hydrops fetalis, structural malformation...

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Main Authors: Osman Temizkan, Faruk Abike, Habibe Ayvacı, Ersan Demirag, Yasin Görücü, Ecmel Isık
Format: Article
Language:English
Published: SAGE Publishing 2011-10-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/2460
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author Osman Temizkan
Faruk Abike
Habibe Ayvacı
Ersan Demirag
Yasin Görücü
Ecmel Isık
author_facet Osman Temizkan
Faruk Abike
Habibe Ayvacı
Ersan Demirag
Yasin Görücü
Ecmel Isık
author_sort Osman Temizkan
collection DOAJ
description The Cystic Hygroma (CH) is a lymphatic malformation occurring different parts of fetal body, typically in the region of the fetal neck and axillary, abdominal wall, mediastinal, inguinal and retroperitoneal areas. CH has been associated with fetal aneuploidy, hydrops fetalis, structural malformations and intrauterine fetal death. A 24-years-old gravida 1, para 1 was admitted to our hospital at 28 weeks of gestation. Ultrasonographic examination determined 28 weeks of gestation, singleton, alive fetus who had a mass derived from the right axillary region which was extending to the anterior and posterior thoracic wall with fluid-filled cavities about 12 cm in size. There was no evidence of intrathorasic or intraabdominal extension of mass. Cordocentesis was performed and karyotype examination was normal 46 XY. The fetal demise was found after the first visit. The patient was delivered vaginally after labor induction with oxytocin infusion. The fetal autopsy confirmed the diagnosis of CH. The fetal CH carries high risk of aneuploidy and fetal malformations. Patients that have been diagnosed with CH in antenatal follow-ups should be assessed in terms of other anomalies. Fetal karyotyping should be done and the patient should be monitored for fetal hydrops. The birth should be planned in a multidisciplinary hospital and as neonatal resuscitation could be needed, pediatricians should be consulted.
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spelling doaj.art-8b595fff588b477aba3cef9bad32d13d2022-12-21T23:19:26ZengSAGE PublishingRare Tumors2036-36052036-36132011-10-0134e39e3910.4081/rt.2011.e391741Fetal Axillary Cystic Hygroma; a case report and reviewOsman Temizkan0Faruk Abike1Habibe Ayvacı2Ersan Demirag3Yasin Görücü4Ecmel Isık5Department of Obstetrics Gynecology, Sisli Etfal Education and Research Hospital, IstanbulDepartment of Obstetrics Gynecology, Medicana International Ankara Hospital, AnkaraDepartment of Obstetrics Gynecology, Zeynep Kamil Education and Research Hospital, IstanbulDepartment of Obstetrics Gynecology, Zeynep Kamil Education and Research Hospital, IstanbulDepartment of Radiology, Haseki Education and Research Hospital, IstanbulDepartment of Pathology, Zeynep Kamil Education and Research Hospital, IstanbulThe Cystic Hygroma (CH) is a lymphatic malformation occurring different parts of fetal body, typically in the region of the fetal neck and axillary, abdominal wall, mediastinal, inguinal and retroperitoneal areas. CH has been associated with fetal aneuploidy, hydrops fetalis, structural malformations and intrauterine fetal death. A 24-years-old gravida 1, para 1 was admitted to our hospital at 28 weeks of gestation. Ultrasonographic examination determined 28 weeks of gestation, singleton, alive fetus who had a mass derived from the right axillary region which was extending to the anterior and posterior thoracic wall with fluid-filled cavities about 12 cm in size. There was no evidence of intrathorasic or intraabdominal extension of mass. Cordocentesis was performed and karyotype examination was normal 46 XY. The fetal demise was found after the first visit. The patient was delivered vaginally after labor induction with oxytocin infusion. The fetal autopsy confirmed the diagnosis of CH. The fetal CH carries high risk of aneuploidy and fetal malformations. Patients that have been diagnosed with CH in antenatal follow-ups should be assessed in terms of other anomalies. Fetal karyotyping should be done and the patient should be monitored for fetal hydrops. The birth should be planned in a multidisciplinary hospital and as neonatal resuscitation could be needed, pediatricians should be consulted.http://www.pagepress.org/journals/index.php/rt/article/view/2460cystic hygroma, axillary, karyotype, diagnosis, treatment, prognosis
spellingShingle Osman Temizkan
Faruk Abike
Habibe Ayvacı
Ersan Demirag
Yasin Görücü
Ecmel Isık
Fetal Axillary Cystic Hygroma; a case report and review
Rare Tumors
cystic hygroma, axillary, karyotype, diagnosis, treatment, prognosis
title Fetal Axillary Cystic Hygroma; a case report and review
title_full Fetal Axillary Cystic Hygroma; a case report and review
title_fullStr Fetal Axillary Cystic Hygroma; a case report and review
title_full_unstemmed Fetal Axillary Cystic Hygroma; a case report and review
title_short Fetal Axillary Cystic Hygroma; a case report and review
title_sort fetal axillary cystic hygroma a case report and review
topic cystic hygroma, axillary, karyotype, diagnosis, treatment, prognosis
url http://www.pagepress.org/journals/index.php/rt/article/view/2460
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AT habibeayvacı fetalaxillarycystichygromaacasereportandreview
AT ersandemirag fetalaxillarycystichygromaacasereportandreview
AT yasingorucu fetalaxillarycystichygromaacasereportandreview
AT ecmelisık fetalaxillarycystichygromaacasereportandreview