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Table of Contents
Vol. 25, No. 1, 2009
Issue release date: August 2009
Section title: Original Paper
Fetal Diagn Ther 2009;25:15–20
(DOI:10.1159/000188056)

Sacrococcygeal Teratomas: Prenatal Surveillance, Growth and Pregnancy Outcome

Wilson R.D. · Hedrick H. · Flake A.W. · Johnson M.P. · Bebbington M.W. · Mann S. · Rychik J. · Liechty K. · Adzick N.S.
Fetal Heart Program, The Center for Fetal Diagnosis and Treatment, The Children’s Hospital of Philadelphia, and Departments of Surgery, Obstetrics/Gynecology, and Pediatrics, University of Pennsylvania, School of Medicine, Philadelphia, Pa., USA

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 12/4/2007
Accepted: 1/21/2008
Published online: 12/20/2008

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 6

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT

Abstract

Objective: Prenatal surveillance and growth characteristics are evaluated in a cohort of fetuses with sacrococcygeal teratomas (SCT) as part of risk assessment. Methods: Retrospective review of 23 fetuses with SCT: prenatal diagnosis, surveillance, delivery, and early postnatal outcome are reported. Results: Cardiac output failure physiology requires serial evaluation. The size of the SCT determines obstetrical risks and mode of delivery. An SCT growth rate approaching >150 cm3 per week may be associated with increased perinatal mortality risks. Maternal morbidity is related mainly to polyhydramnios and preterm labor. Conclusions: Perinatal mortality is approximately 43%. Maternal-fetal surgery for fetal physiologic deterioration is not frequent, but serial surveillance is required to minimize fetal morbidity/mortality and maternal morbidity. Rapid SCT growth rates may be associated with increased risk of perinatal mortality.


  

Author Contacts

R.D. Wilson, MD
Children’s Hospital of Philadelphia, Center for Fetal Diagnosis and Treatment
34th Street and Civic Center Boulevard, 5th Floor, Wood Building
Philadelphia, PA 19104 (USA)
Tel. +1 215 590 4016, Fax +1 215 590 2447, E-Mail wilsonrd@email.chop.edu

  

Article Information

Received: December 4, 2007
Accepted after revision: January 21, 2008
Published online: December 20, 2008
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 6, Number of References : 18

  

Publication Details

Fetal Diagnosis and Therapy (Clinical Advances and Basic Research)

Vol. 25, No. 1, Year 2009 (Cover Date: August 2009)

Journal Editor: Holzgreve W. (Freiburg), Evans M.I. (New York, N.Y.), Uzan S. (Paris), Michejda M. (Washington, D.C.), Pringle K.C. (Wellington)
ISSN: 1015-3837 (Print), eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 12/4/2007
Accepted: 1/21/2008
Published online: 12/20/2008

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 6

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: http://www.karger.com/FDT


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