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Prenatal diagnosis of umbilical cord cyst: Clinical significance and prognosis

机译:产前诊断脐带囊肿的临床意义和预后

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Objective Clarify the prognosis of the prenatal ultrasound diagnosis of umbilical cord cysts at any gestation trimester and to assess the ultrasound findings and chromosomal alterations associated to this entity. Materials and methods Between 2003 and 2015 a multicenter study was carried out, collecting, in five centers in Spain, the associated findings and perinatal outcomes of 27 cases of umbilical cord cysts, regardless of gestational age of diagnosis. A bibliographic review was conducted to identify previous studies in order to compare them with our data. Results In our sample, the prognosis of this finding and the neonatal outcome, when isolated, is favorable, regardless of gestational age at diagnosis, multiple or unique presentation or vanishing or persistent cysts. Conclusions It is important to properly assess the umbilical cord cyst and when is diagnosed, it is recommended to conduct a meticulous ultrasound examination searching for other associated malformations. In our study the prognosis of this finding seems to be favorable when isolated. Also, there is no relation between prognosis and gestation weeks at diagnosis. On the other hand, when we find this entity with associated anomalies, it is recommended to assess the need to carry out a karyotype.
机译:目的明确妊娠前三个月脐带囊肿的产前超声诊断的预后,并评估与该实体相关的超声发现和染色体改变。材料和方法2003年至2015年之间,进行了一项多中心研究,在西班牙的五个中心中收集了27例脐带囊肿的相关发现和围产期结局,而与诊断的胎龄无关。书目审查进行了确定以前的研究,以便将其与我们的数据进行比较。结果在我们的样本中,无论诊断时的胎龄,多发或独特的表现或消失或持续的囊肿,孤立时该发现和新生儿结局的预后都是有利的。结论正确评估脐带囊肿是很重要的,并且在诊断时,建议进行细致的超声检查以寻找其他相关的畸形。在我们的研究中,孤立时这一发现的预后似乎是有利的。而且,预后与诊断时的妊娠周数没有关系。另一方面,当我们发现该实体具有相关的异常时,建议评估进行核型的必要性。

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