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WS02‐04Fetal tumours
Author(s) -
González A. G.,
Herrero F. L.,
Alvarez E. CH.,
Rodriguez R. R.
Publication year - 2000
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 - 10.1046/j.1469-0705.2000.00009-1-13.x
Subject(s) - medicine , polyhydramnios , fetus , obstetrics , genitourinary system , pregnancy , cyst , fetal surgery , surgery , in utero , genetics , biology
Fetal oncology is a chapter of the Obstetrics non well known yet. Fortunately, the improvements in the ultrasonography has let us to obtain an intrauterine diagnosis and to follow its evolution in order to choose the most appropriated obstetrical way. A total of 1326 fetal abnormalities has been diagnosed in the last 10 years in the Hospital ‘La Paz’, Madrid, and we have found 54 cases of fetal tumours detected by ultrasonography (cyst and solid tumours included). This number of fetal tumours is estimated to be the 4.07% of all fetal abnormalities. Most frequent tumours include the fetal central nervous system, fetal lung, fetal heart, fetal genitourinary system, fetal gastrointestinal system. We have reviewed these fetal tumours histology, location and behaviour, trying to study the best obstetrical conduct and its chirurgical treatment. Ultrasonographic characteristic of each fetal tumour has been specified. Besides, we describe the possible differential diagnosis, maternal complications (preeclamptic status, mirror syndrome), obstetrical complications (polyhydramnios, preterm labour and delivery or placentomegaly) and fetal complications (cardiovascular failures, hydrops or death). Finally, we perform the indications for the spontaneous delivery or the preterm delivery induction depending on each case. Although we have not experience in intrauterine surgery, we believe that the best results are obtained in the neonatal surgery, always after an individual study and in agreement with the whole perinatal equipment.