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Prenatal diagnosis of severe epignathous in a twin: Case report and review of the literature.
MedLine Citation:
PMID:  20102262     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract A prenatal ultrasound diagnosis of epignathous in a dichorionic-diamniotic twin pregnancy is reported. A complex mass protruding from the fetal face was seen at week 19. Amniocentesis resulted in a 46,XX fetus with elevated -FP. Increase in tumor size and severe polyhydramnios ensued. Selective feticide performed at 22 weeks led to untreatable uterine contractions with iatrogenic abortion and early neonatal mortality of the healthy co-twin. Without development of polyhydramnios and tumor growth, weekly scan and transvaginal cervical assessment would have been carried out and Cesarean section planned at around 32 weeks. Necroscopy and histology aided the ultrasound-based prenatal diagnosis. Key-words: Twin, oral teratoma, epignathous, ultrasound, prenatal diagnosis, amniocentesis, fetal karyotype, selective feticide, necroscopy.
Authors:
Gabriele Tonni; Giovanni Centini; Pieraldo Inaudi; Lucia Rosignoli; Chiara Ginnaneschi; Claudio De Felice
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2009-11-18
Journal Detail:
Title:  The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association     Volume:  -     ISSN:  1545-1569     ISO Abbreviation:  -     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2010-6-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102566     Medline TA:  Cleft Palate Craniofac J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Guastalla Civil Hospital, AUSL Reggio Emilia.
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