Successful in utero treatment of an oral teratoma via operative fetoscopy: case report and review of the literature

The prenatal diagnosis of a nasopharyngeal teratoma carries a very grave prognosis. Although these tumors constitute only 9% of all teratomas, all previous cases diagnosed antenatally have been associated with either fetal demise or emergent surgery at birth. Of the fetuses that survive to birth, de...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2012-07, Vol.207 (1), p.e12-e15
Main Authors: Kontopoulos, Eftichia V., MD, PhD, Gualtieri, Marc, MD, Quintero, Rubén A., MD
Format: Article
Language:English
Subjects:
Adult
Female
Fetal Diseases - diagnosis
Fetal Diseases - surgery
fetal surgery
Fetoscopy
Humans
Mouth Neoplasms - diagnosis
Mouth Neoplasms - surgery
nasopharyngeal tumor
Obstetrics and Gynecology
operative fetoscopy
oral teratoma
Pregnancy
Teratoma - diagnosis
Teratoma - surgery
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Summary:The prenatal diagnosis of a nasopharyngeal teratoma carries a very grave prognosis. Although these tumors constitute only 9% of all teratomas, all previous cases diagnosed antenatally have been associated with either fetal demise or emergent surgery at birth. Of the fetuses that survive to birth, delivery can be associated with airway obstruction and multiple postnatal surgeries. These complications could be averted if the tumor could be safely treated in utero. We hereby report the successful treatment of an oral teratoma via operative fetoscopy, with the birth of a healthy infant at term.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2012.04.008