Management of Congenital Cervical Teratoma with Application of EXIT Protocol - Case Report

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Journal of Clinical Obstetrics and Gynecology Pub Date : 2023-10-18 DOI:10.29328/journal.cjog.1001147
Nogueira Gleydson Cavalcante, da Silva Larissa Cassemiro, Hatanaka Diná Mie, Iasi Marcelo, Zacharias Romy Schmidt Brock, Gomes Mariano Tamura Vieira
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Abstract

Background: Congenital teratomas are relatively rare neoplasms, which occurs in about 1:20,000 to 1:80,000 births, and only 1.5% to 5% of which are neoplasm of the cervical. They can be diagnosed through ultrasound during pregnancy and, if not properly handled, have a high mortality rate. Airway compression is a secondary complication following mortality. Case report: A solid-cystic mass was identified in the anterior cervical region of a 30-week-old fetus during an ultrasound scan. EXIT (Ex-Utero Intrapartum Treatment)-to-airway procedure was performed by a multidisciplinary team composed of obstetricians, anesthesiologists, neonatologists and pediatric surgeons to remove the neoplasm. The procedure occurred upon delivery of the fetus, resulting in a positive outcome with neonatal survival. In this case, the fetus was in breech position, and, differently from the usual EXIT protocol, it had to be completely extracted before guaranteeing airway flow. Conclusion: Although congenital teratomas are a rare condition with complex treatment, it is possible to achieve a satisfactory outcome when adequate planning and protocol are established.
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先天性宫颈畸胎瘤退出手术方案的应用- 1例报告
背景:先天性畸胎瘤是一种较为罕见的肿瘤,其发生率约为1:20 000 ~ 1:8万,其中宫颈肿瘤仅占1.5% ~ 5%。它们可以在怀孕期间通过超声波诊断出来,如果处理不当,死亡率很高。气道压迫是死亡后的次要并发症。病例报告:一个固体囊性肿块被确定在宫颈前区30周大的胎儿超声扫描。由产科医生、麻醉科医生、新生儿科医生和儿科外科医生组成的多学科团队进行EXIT(子宫外分娩治疗)至气道手术,切除肿瘤。该程序发生在胎儿分娩时,导致新生儿存活率的积极结果。在这种情况下,胎儿处于臀位,与通常的EXIT方案不同,在保证气道流动之前,必须完全取出胎儿。结论:先天性畸胎瘤虽然是一种罕见的疾病,治疗复杂,但只要制定适当的计划和方案,就有可能获得满意的结果。
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来源期刊
Journal of Clinical Obstetrics and Gynecology
Journal of Clinical Obstetrics and Gynecology Medicine-Obstetrics and Gynecology
CiteScore
0.30
自引率
0.00%
发文量
8
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