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- Title
Sacrococcygeal Teratomas: Prenatal Surveillance, Growth and Pregnancy Outcome.
- Authors
Wilson, R. Douglas; Hedrick, Holly; Flake, Alan W.; Johnson, Mark P.; Bebbington, Michael W.; Mann, Stephanie; Rychik, Jack; Liechty, Kenneth; Adzick, N. Scott
- Abstract
Objective: Prenatal surveillance and growth characteristics are evaluated in a cohort of fetuses with sacrococcygeal teratomas (SCT) as part of risk assessment. Methods: Retrospective review of 23 fetuses with SCT: prenatal diagnosis, surveillance, delivery, and early postnatal outcome are reported. Results: Cardiac output failure physiology requires serial evaluation. The size of the SCT determines obstetrical risks and mode of delivery. An SCT growth rate approaching >150 cm3 per week may be associated with increased perinatal mortality risks. Maternal morbidity is related mainly to polyhydramnios and preterm labor. Conclusions: Perinatal mortality is approximately 43%. Maternal-fetal surgery for fetal physiologic deterioration is not frequent, but serial surveillance is required to minimize fetal morbidity/mortality and maternal morbidity. Rapid SCT growth rates may be associated with increased risk of perinatal mortality. Copyright © 2008 S. Karger AG, Basel
- Subjects
PRENATAL diagnosis; FETAL abnormalities; SACROCOCCYGEAL region -- Tumors; TERATOMA; PREMATURE labor
- Publication
Fetal Diagnosis & Therapy, 2009, Vol 25, Issue 1, p15
- ISSN
1015-3837
- Publication type
Article
- DOI
10.1159/000188056