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Pediatric Surgery International
Published in: Pediatric Surgery International 7/2016

01-07-2016 | Review Article

Management of fetal teratomas

Authors: Jose L. Peiró, Lourenço Sbragia, Federico Scorletti, Foong Y. Lim, Aimen Shaaban

Published in: Pediatric Surgery International | Issue 7/2016

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Abstract

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.
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Metadata
Title
Management of fetal teratomas
Authors
Jose L. Peiró
Lourenço Sbragia
Federico Scorletti
Foong Y. Lim
Aimen Shaaban
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 7/2016
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-016-3892-3

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