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[Lymphangioma--prenatal and perinatal aspects--Part one]
Aleksandra Persona-Sliwińska1, Krystyna Brazert, Ewa Wender-Ozegowska
1Klinika Połoznictwa i Chorób Kobiecych, Katedra Ginekologii i Połoznictwa AM im. K. Marcinkowskiego w Poznaniu. kpichk@gpsk.am.poznan.pl
Ginekologia Polska
|November 5, 2004
Summary
Lymphangioma, a lymphatic malformation, is often linked to fetal issues. However, this study reports two cases of isolated fetal lymphangioma diagnosed prenatally with positive perinatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
- Pediatric Surgery
Background:
- Lymphangioma (cystic hygroma) is a congenital lymphatic malformation.
- It is frequently associated with fetal aneuploidy, hydrops, structural anomalies, and intrauterine fetal demise.
- Prenatal diagnosis of lymphangioma typically raises concerns for adverse fetal outcomes.
Observation:
- This report details two cases of fetal lymphangioma diagnosed in the third trimester.
- Both fetuses presented with normal karyotypes and nuchal translucency (NT) measurements.
- No other structural anomalies were detected in either fetus.
Findings:
- Isolated fetal lymphangioma can occur in the absence of aneuploidy or other structural defects.
- Prenatal diagnosis of lymphangioma does not always predict a poor perinatal outcome.
- Both cases reported here resulted in good perinatal outcomes.
Implications:
- These findings suggest that isolated fetal lymphangioma, particularly when diagnosed prenatally with normal karyotype and no other anomalies, may have a favorable prognosis.
- This case report can aid clinicians in counseling parents regarding the potential outcomes for fetuses diagnosed with lymphangioma.
- Further research is warranted to better understand the spectrum of lymphangioma and its association with fetal development and outcomes.