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Related Experiment Videos

Fetal neck myofibroma.

Tuangsit Wataganara1, Sopapan Ngerncham, Ratchada Kitsommart

  • 1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkoknoi, Bangkok 10700, Thailand. sitwg@mahidol.ac.th

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|March 23, 2007
PubMed
Summary

Prenatal diagnosis using MRI and ultrasonography identified a rare fetal neck mass. Ex utero intrapartum treatment (EXIT) successfully secured the infant's airway during delivery, followed by surgical removal.

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Area of Science:

  • Medical Imaging
  • Fetal Medicine
  • Pediatric Surgery

Background:

  • Prenatal diagnosis of fetal anomalies is crucial for effective management.
  • Magnetic resonance imaging (MRI) complements ultrasonography in detailed fetal assessment.
  • Giant fetal neck masses pose significant risks to airway patency.

Observation:

  • A case of a giant solid mass in the fetal neck was diagnosed at 33 weeks gestation via ultrasonography.
  • MRI confirmed the diagnosis and evaluated the fetal airway, raising concerns for compromise.
  • The mass was identified as an infantile myofibroma through histopathology post-delivery.

Findings:

  • Successful application of ex utero intrapartum treatment (EXIT) facilitated securement of the fetal airway prior to umbilical cord clamping.

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  • The EXIT procedure was performed during Cesarean section, ensuring a safe delivery.
  • Histopathological analysis confirmed the rare diagnosis of infantile myofibroma.

    • Implications:

    • This case highlights the importance of advanced imaging in diagnosing complex fetal conditions.
    • The successful use of EXIT demonstrates its value in managing airway compromise due to fetal neck masses.
    • Early and accurate diagnosis coupled with strategic intervention can lead to favorable outcomes for rare fetal tumors.