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Prenatal sonographic diagnosis of a congenital oral fibrovascular hamartoma
Author(s) -
Coombs P. R.,
Gilbertson T.,
Teoh M.
Publication year - 2011
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.8913
Subject(s) - medicine , lesion , hamartoma , prenatal diagnosis , differential diagnosis , histopathology , magnetic resonance imaging , radiology , fetus , ultrasound , swallowing , pathology , pregnancy , biology , genetics
We report the diagnosis of a congenital oral fibrovascular hamartoma with two‐ and three‐dimensional ultrasound. The distinctive sonographic features including the fibrovascular stalk and a single vascular pedicle are described. Prenatal magnetic resonance imaging and postnatal computed tomography confirmed the ultrasound findings. Despite concerns about impaired swallowing, the prenatal and perinatal courses were straightforward. The lesion was removed soon after birth. Histopathology of the removed lesion provided the definitive diagnosis of a fibrovascular hamartoma and reported a cellular composition that differentiates it from similar lesions. To our knowledge, such a lesion has not been reported pre‐ or postnatally and provides an alternative differential diagnosis for a fetus presenting with a mouth mass. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.