The first intravital case of diagnosis and treatment of a giant teratoma of the sacrococcygeal area, which exceeded the body weight of a newborn on 1.5 times

O. Sliepov, O.V. Perederii, N.Y. Skrypchenko, V.V. Kotsovsky, O.P. Hladyshko, G. Grebinichenko
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Abstract

Purpose - is to analyze and present the experience of perinatal diagnosis and treatment of giant terato-dermoid tumor (TDT) of the sacrococcygeal area, which exceeded the body weight of a newborn on 1.5 times. Clinical case. The article presents a unique clinical case of a giant teratoma of the sacrococcygeal area (SCT), which exceeded the weight of a newborn child on 1.5 times. Features of perinatal support, hypoxic-ischemic damage of internal organs, and surgical intervention for giant SCT in a premature low-weight newborn child are described, which are important elements of optimizing the treatment of children with this life-threatening pathology. Conclusions. Diagnosis and treatment of giant SCT in fetuses and newborns require scientifically based perinatal support, which includes early (up to 22 weeks of gestation) prenatal diagnosis, rational pregnancy management tactics, fetal examination, delivery by caesarean section, postnatal diagnosis and early (within 1 days) emergency radical tumor removal. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting studies. No conflict of interests was declared by the authors.
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骶尾部巨大畸胎瘤(超过新生儿体重的 1.5 倍)的诊断和治疗的首个眼内病例
目的 - 分析并介绍围产期诊断和治疗骶尾部巨大畸胎瘤(TDT)的经验,该肿瘤超过新生儿体重的 1.5 倍。临床病例。文章介绍了一个独特的骶尾部巨大畸胎瘤(SCT)临床病例,该肿瘤超过新生儿体重的 1.5 倍。文章描述了围产期支持、内脏器官缺氧缺血性损伤以及手术干预治疗早产低体重新生儿巨大畸胎瘤的特点,这些都是优化治疗这种危及生命的病理儿童的重要因素。结论胎儿和新生儿巨大 SCT 的诊断和治疗需要科学的围产期支持,包括早期(妊娠 22 周内)产前诊断、合理的妊娠管理策略、胎儿检查、剖腹产、产后诊断和早期(1 天内)紧急根治性肿瘤切除。研究按照《赫尔辛基宣言》的原则进行。在进行研究时,已征得患者的知情同意。作者未声明利益冲突。
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