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An Unusual Origin of Fetal Lymphangioma Filling Right Axilla

机译:胎儿淋巴管瘤充盈右腋窝的不寻常起源

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摘要

Fetal lymphangioma is a hamartomatous congenital anomaly of the lymphatic system, which is embracing the fetal skin (sometimes mucous membranes) and the subcutaneous tissue. The general consensus is that it occurs as a result of failure in lymphatic drainage. A 36-year-old pregnant woman was referred to our perinatology clinic at 22 weeks’ gestation, because of a fetal right-sided axillary mass revealed by ultrasonography. The mass measuring 5x7x7cm in three dimensions had a multilocular structure without colour Doppler flow and well-circumscribed borders. Amniocentesis revealed a normal constitutional karyotyping. Lymphangioma was considered as prediagnosis. A healthy female baby weighing 3470 grams was delivered at term. Neonatal examination and the postnatal MRI confirmed the diagnosis. The baby is still on follow-up with the medical treatment of Sirolimus an anti-proliferative drug, and the mass got smaller significantly in 8 months after delivery.
机译:胎儿淋巴管瘤是一种淋巴系统的错构瘤性先天性异常,它包括胎儿皮肤(有时是粘膜)和皮下组织。普遍的共识是,它是由于淋巴引流失败而发生的。一名 36 岁的孕妇在妊娠 22 周时被转诊到我们的围产期门诊,因为超声检查显示胎儿右侧腋窝肿块。三维质量为5x7x7cm,具有多房结构,无彩色多普勒流,边界边界清晰。羊膜腔穿刺术显示体质核型正常。淋巴管瘤被认为是预诊断。足月分娩时体重3470克的健康女婴。新生儿检查和产后MRI证实了诊断。婴儿仍在接受抗增殖药物西罗莫司的药物治疗,分娩后8个月肿块明显变小。

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