[Prenatal ultrasonographic diagnosis of four cases of sacrococcygeal teratoma].
Four cases of SCT, diagnosed antenatally by the authors are reported. The reasons for referal to the department, the sonographic findings, the obstetric management, the outcome for the fetus and the histologic findings are summarized for each particular case. In the first case y 23 years old primigravida was admitted to the Hospital because of hydramnious and threatened premature labour in 30 w.g. The ultrasound examination revealed an AGA fetus with y tumor mass with y mixed structure protruding from the sacrococcygeal region. Despite the tocolytic therapy two days after admission to the department y 2400 grams severely asphyxiated fetus was born. Neonatal death occurred 15 minutes after delivery. In the second case y 28 years old primigravida was referred to the hospital because of acute hydramnios in 31 w.g. The ultrasound examination revealed an AGA fetus with y predominately solid mass with calcifications, 110/120 mm in dimentions in the sacrococcygeal region. Despite the indomethacin therapy on day 4th of admission spontaneous labour started. During a vaginal examination avulsion of the presenting "mass" occurred followed by rapid exsanguination of the fetus. In the third case the anomaly was diagnosed in the second trimester and genetic counseling of the couple was offered. The karyotype of the fetus was normal but the parents chose termination of pregnancy despite the advanced gestational age (29 w.g. by that time). A 1900 gramas live female infant was born and was emergently referred to the Neonatal Surgery Department and operated on 4th day after delivery. Unfortunately the baby died 24 hours after the operation from an accident, not related to the operation. In conclusion y protocol for obsteric management of pregnancies with SCTs of the fetus is proposed by the authors.
Mazneĭkova
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Dimitrova
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D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011247:Pregnancy; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging*; D013724:Teratoma / Q000000981:diagnostic imaging*; D016216:Ultrasonography, Prenatal