Primitive intrapericardial teratoma associated with yolk sac tumour.
An intrapericardial vacuolated mass compressing and displacing the heart was diagnosed by echocardiography in a foetus of 22 weeks gestation. The birth was induced for early signs of foetal distress at 29 weeks and, after two initial pericardial evacuation procedures, the tumour was resected radically 7 days after birth at a weight of 1.55 kg. Mass histology showed teratoma associated with yolk sac tumour. We comment on the overall approach adopted after foetal diagnosis and the histopathological features of the tumour, and try to draw conclusions on patient outcome data.
1Unit of Cardiac Surgery,Bambino Gesù Children's Hospital,IRCCS,Rome,Italy.
Enrico
E
Cetrano
2Unit of Cardiac Intensive Care,Bambino Gesù Children's Hospital,IRCCS,Rome,Italy.
Angelo
A
Polito
1Unit of Cardiac Surgery,Bambino Gesù Children's Hospital,IRCCS,Rome,Italy.
Adriano
A
Carotti
D003937:Diagnosis, Differential; D004452:Echocardiography; D018240:Endodermal Sinus Tumor / Q000000981:diagnostic imaging / Q000196:embryology*; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000196:embryology*; D006801:Humans; D007231:Infant, Newborn; D010496:Pericardium / Q000000981:diagnostic imaging* / Q000196:embryology; D011247:Pregnancy; D013724:Teratoma / Q000000981:diagnostic imaging / Q000196:embryology*; D016216:Ultrasonography, Prenatal / Q000379:methods*