Literature DB >> 18096741

Fetal mediastinal lymphangiomas.

Christine H Comstock1, Wesley Lee, Richard A Bronsteen, Ivana Vettraino, Daniel Wechter.   

Abstract

OBJECTIVE: The purpose of this series was to evaluate the prenatal sonographic findings and postnatal outcomes in 2 fetuses with mediastinal lymphangiomas.
METHODS: The fetal images were compared with postnatal imaging and surgical findings.
RESULTS: The 2 fetuses had anechoic mediastinal masses at 25 and 22 weeks, which proved to be lymphangiomas. One, located in the anterior mediastinum, also enveloped the superior vena cava, brachial plexus, phrenic nerve, larynx, and lower parts of the neck vessels and extended into the subcutaneous tissues of the anterior chest wall through an intercostal space. In the second patient, the lymphangioma appeared to be a unilocular cyst, which involved the deep tissues of the neck as well as the posterior and lateral mediastinum. Both required 2 interventions after birth.
CONCLUSIONS: Fetal mediastinal lymphangiomas appeared anechoic and sent extensions into the neck in the first case, around the superior vena cava, through the intercostal spaces to the skin, and around the brachial plexus in the second case, and deviated the trachea in both cases. In 1 case, there was also ectasia of the superior vena cava. This ability to entwine around vital structures can make it difficult to determine the extent of involvement on antenatal sonography and to remove lymphangiomas completely, and recurrence is common.

Entities:  

Mesh:

Year:  2008        PMID: 18096741     DOI: 10.7863/jum.2008.27.1.145

Source DB:  PubMed          Journal:  J Ultrasound Med        ISSN: 0278-4297            Impact factor:   2.153


  4 in total

Review 1.  Tumours of the fetal body: a review.

Authors:  Fred E Avni; Anne Massez; Marie Cassart
Journal:  Pediatr Radiol       Date:  2009-02-24

2.  Prenatally detected thoracic neuroblastoma.

Authors:  Yejin Park; Hyun Jin Lee; Yun Ji Jung; Joon Ho Lee; Ja Young Kwon; Young-Han Kim
Journal:  Obstet Gynecol Sci       Date:  2018-01-30

3.  Prenatally diagnosed large mediastinal lymphangioma: A case report.

Authors:  Hideaki Tanaka; Kouji Masumoto; Tomohiro Aoyama; Youhei Sanmoto; Kentaro Ono; Naoya Sakamoto; Hajime Kawakami
Journal:  Clin Case Rep       Date:  2018-08-14

4.  The Value of Fetal Heart Evaluation in Fetuses with Rare Congenital Lymphangiomas: A Cohort Study from a Single Tertiary Center across Two Decades (Years 1999-2020).

Authors:  Paulina Kordjalik; Bartosz Szmyd; Filip Franciszek Karuga; Gabriela Daszkiewicz; Iwona Strzelecka; Maria Respondek-Liberska
Journal:  J Clin Med       Date:  2022-02-16       Impact factor: 4.241

  4 in total

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