The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature
BackgroundAntenatally diagnosed sacrococcygeal teratoma has been associated with risks of perinatal complications and death, especially when the foetus has symptoms of cardiac insufficiency, hydrops or anemia in utero; however, the method of intervention remains controversial.CaseA 25-year-old pregn...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.1035058/full |
| _version_ | 1811327205395922944 |
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| author | Yunping Ding Mengmeng Yang Min Lv Ying Jiang Tian Dong Baihui Zhao Qiong Luo |
| author_facet | Yunping Ding Mengmeng Yang Min Lv Ying Jiang Tian Dong Baihui Zhao Qiong Luo |
| author_sort | Yunping Ding |
| collection | DOAJ |
| description | BackgroundAntenatally diagnosed sacrococcygeal teratoma has been associated with risks of perinatal complications and death, especially when the foetus has symptoms of cardiac insufficiency, hydrops or anemia in utero; however, the method of intervention remains controversial.CaseA 25-year-old pregnant woman was found to have a cystic and solid tumor in the fetal sacrococcygeal region at 16 weeks of gestation. As the tumour grew, the mother developed polyhydramnios accompanied with gestational diabetes. Fetal and tumorous hemodynamics were closely monitored by ultrasound. Abnormal cardiac function was detected at 31 weeks’ gestation, and we creatively performed pre-emptive delivery through the ex-utero intrapartum treatment with debulking. The teratoma was removed with utero-placental circulation support. The operation proceeded smoothly with favourable prognosis for both mother and newborn.ConclusionThe ex-utero intrapartum treatment may improve the prognosis for fetuses with heart failure when they reach viable gestation. |
| first_indexed | 2024-04-13T15:02:47Z |
| format | Article |
| id | doaj.art-c456aa450a0043c3950d42331988a007 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-13T15:02:47Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-c456aa450a0043c3950d42331988a0072022-12-22T02:42:15ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.10350581035058The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literatureYunping DingMengmeng YangMin LvYing JiangTian DongBaihui ZhaoQiong LuoBackgroundAntenatally diagnosed sacrococcygeal teratoma has been associated with risks of perinatal complications and death, especially when the foetus has symptoms of cardiac insufficiency, hydrops or anemia in utero; however, the method of intervention remains controversial.CaseA 25-year-old pregnant woman was found to have a cystic and solid tumor in the fetal sacrococcygeal region at 16 weeks of gestation. As the tumour grew, the mother developed polyhydramnios accompanied with gestational diabetes. Fetal and tumorous hemodynamics were closely monitored by ultrasound. Abnormal cardiac function was detected at 31 weeks’ gestation, and we creatively performed pre-emptive delivery through the ex-utero intrapartum treatment with debulking. The teratoma was removed with utero-placental circulation support. The operation proceeded smoothly with favourable prognosis for both mother and newborn.ConclusionThe ex-utero intrapartum treatment may improve the prognosis for fetuses with heart failure when they reach viable gestation.https://www.frontiersin.org/articles/10.3389/fonc.2022.1035058/fullex-utero intrapartum treatment (EXIT)sacrococcygeal teratoma (SCT)cardiac insufficiencyfetal tumorprenatal diagnosis |
| spellingShingle | Yunping Ding Mengmeng Yang Min Lv Ying Jiang Tian Dong Baihui Zhao Qiong Luo The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature Frontiers in Oncology ex-utero intrapartum treatment (EXIT) sacrococcygeal teratoma (SCT) cardiac insufficiency fetal tumor prenatal diagnosis |
| title | The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature |
| title_full | The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature |
| title_fullStr | The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature |
| title_full_unstemmed | The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature |
| title_short | The ex-utero intrapartum treatment (EXIT) strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency: A case report and review of the literature |
| title_sort | ex utero intrapartum treatment exit strategy for fetal giant sacrococcygeal teratoma with cardiac insufficiency a case report and review of the literature |
| topic | ex-utero intrapartum treatment (EXIT) sacrococcygeal teratoma (SCT) cardiac insufficiency fetal tumor prenatal diagnosis |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.1035058/full |
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