Document Detail


Fetal axillary hemangiolymphangioma with secondary intralesional bleeding: serial ultrasound findings.
MedLine Citation:
PMID:  11952973     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case of fetal axillary hemangiolymphangioma coexisting with intralesional hemorrhage is presented. At 27 weeks' gestation, the fetus was found to have a 52 x 43-mm left axillary multilocular cystic mass which showed no signals on color Doppler. The mass was composed mostly of sonolucent spaces. At 29 weeks' gestation, an arterial flow signal (15 cm/s) was detected within the mass. In addition, two low-density echogenic cystic spaces with bidirectional flow waveforms were found, which raised the suspicion of intratumoral bleeding. Two weeks later, a fine-needle aspiration of the mass revealed both straw-colored and chocolate-colored fluid. The tumor size increased from 52 x 43 mm at 27 weeks to 100 x 79 mm at 37 weeks. Blood clots developed gradually in the hemorrhagic spaces. The pregnancy proceeded smoothly to term and at 38 weeks an elective Cesarean section was performed. After a surgical excision of the mass at the age of 4 days, a mixed cavernous hemangioma and cystic lymphangioma with secondary intralesional hemorrhage was confirmed histopathologically.
Authors:
J J Tseng; M M Chou; E S C Ho
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  19     ISSN:  0960-7692     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-04-15     Completed Date:  2002-06-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  403-6     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital and Hungkuang Institute of Technology, Taichung, Taiwan. t1018@vghtc.vghtc.gov.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Arm / pathology,  ultrasonography
Axilla / pathology,  ultrasonography
Female
Fetal Diseases / pathology,  ultrasonography*
Hemangioma / complications,  pathology,  ultrasonography*
Hemorrhage / etiology*,  ultrasonography
Humans
Lymphangioma / complications,  pathology,  ultrasonography*
Pregnancy
Thoracic Neoplasms / pathology,  ultrasonography
Ultrasonography, Prenatal / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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