Successful management of fetal cervical teratoma using the EXIT procedure.
Fetal cervical teratoma is a cause of polyhydramnios, premature labor, and newborn airway obstruction. Formation of a multispecialty team and use of the EXIT procedure is essential for survival of the neonate. Without a team, there is little hope for fetal survival; mortality will be 80-100%. Early diagnosis and planning are essential. Cervical teratomas can contribute to pulmonary insufficiency and chondromalacia because of a mass effect in utero and underdevelopment of the fetal lungs.
Larsen
M E
ME
Department of Obstetrics and Gynecology, George Washington University, Washington, DC, USA. meldrm@aol.com
Larsen
J W
JW
Hamersley
S L
SL
McBride
T P
TP
Bahadori
R S
RS
D000328:Adult; D000649:Amniocentesis; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis*; D005323:Fetal Monitoring; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D006831:Polyhydramnios; D011247:Pregnancy; D011296:Prenatal Diagnosis; D013724:Teratoma / Q000175:diagnosis / Q000601:surgery*