Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth:A Case Report  

作　　者：Xiaoyu Hu Yijing Chu Yunqing Chen Min Zhao Xiaofei Wang Lin Xu 

机构地区：[1]Department of Obstetrics,The Affiliated Hospital of Qingdao University,Qingdao,Shandong 266000,China [2]Department of Pathology,The Affiliated Hospital of Qingdao University,Qingdao,Shandong 266000,China.

出　　处：《Maternal-Fetal Medicine》2023年第2期123-127,共5页母胎医学杂志（英文）

摘　　要：Epignathus is an extremely rare congenital oropharyngeal teratoma.Here,we report a case of epignathus without intracranial extension in a fetus.The mass was first found by ultrasonography at 22 gestational weeks.Serial ultrasound examinations and magnetic resonance imaging confirmed that the fetus had neither central nervous system involvement nor abnormal nose or tooth.The baby was delivered at 37 weeks and six days of gestation via cesarean section set up for ex-utero intrapartum treatment.The postnatal pathologic examination confirmed the presence of mature tissues predominantly containing ectopic central nervous tissue,osseous tissue,and bronchial mucosal tissue.Most cases of epignathus are associated with malformation and death.Ultrasound and magnetic resonance imaging prenatal assessments are very important to facilitate counseling and understand prognosis.In conclusion,the ex-utero intrapartum treatment procedure is a good approach to improve the survival of infants with epignathus.

关 键 词：Prenatal diagnosis TERATOMA Epignathus Fetus. 

分 类 号：R742.1[医药卫生—神经病学与精神病学]