Management of fetal teratomas

Fetal teratomas are the most common tumors diagnosed prenatally. The majority of these tumors are benign and cured by complete resection of the mass during the neonatal period. Prenatal diagnosis has improved the perinatal management of these lesions and especially for the teratomas that might benef...

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Bibliographic Details
Published in:Pediatric Surgery International 2016-07, Vol.32 (7), p.635-647
Main Authors: Peiró, Jose L., Sbragia, Lourenço, Scorletti, Federico, Lim, Foong Y., Shaaban, Aimen
Format: Article
Language:English
Subjects:
Female
Fetal Diseases - diagnosis
Humans
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Pregnancy
Review Article
Surgery
Teratoma - diagnosis
Teratoma - embryology
Ultrasonography, Prenatal - methods
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Summary:Fetal teratomas are the most common tumors diagnosed prenatally. The majority of these tumors are benign and cured by complete resection of the mass during the neonatal period. Prenatal diagnosis has improved the perinatal management of these lesions and especially for the teratomas that might benefit from fetal intervention. A comprehensive prenatal evaluation including conventional ultrasounds, Doppler, echocardiography and fetal MRI, is essential for an effective counseling and perinatal management. Antenatal counseling helps the parents to better understand the natural history, fetal intervention, and perinatal management of these tumors, which differ dramatically depending on their size and location. Fetal surgical debulking improves survival in cases of sacrococcygeal teratoma with cardiac decompensation. Additionally, the use of an EXIT procedure reduces the morbidity and mortality if a complicated delivery in cases of cervical and mediastinal teratomas. Here, we offer an overview of all fetal teratomas and their recommended management, with emphasis on in utero treatment options.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-016-3892-3