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.
Original language | English |
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Pages (from-to) | 15-20 |
Number of pages | 6 |
Journal | Fetal Diagnosis and Therapy |
Volume | 25 |
Issue number | 1 |
DOIs | |
State | Published - Aug 2009 |
Keywords
- Outcome
- Prenatal
- Sacrococcygeal teratomas
- Surveillance
- Teratoma growth