두개내감압 후 질식분만에 의한 임신종결을 시행한 태아의 두개내미성숙기형종 1예
A CASE OF VAGINALLY TERMINATED FETUS WHO HAD INTRACRANIAL IMMATURE TERATOMA AFTER TRANSABDOMINAL FETAL CEPHALOCENTESIS
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참고문헌
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초록
태아의 두개내기형종은 매우 드문 종양이다. 임신 20주의 태아에서 선천성 두개내기형종이 진단되었다. 산전초음파에서 태아는 심한 수두증과 함께 대두증이 있었으며, 후와에 위치한 이형성의 큰 두개내종양이 있었다. 임신 21주에 질식분만을 통한 임신 종결을 시도하였고 유도분만 전 태아의 두개내감압술을 시행하였으며, 이후 합병증 없이 질식분만하였다. 부검 결과 미성숙기형종이었다. 이에 간단한 문헌 고찰과 함께 보고하는 바이다.
Abstract
Congenital intracranial teratoma is a very rare kind of tumor. A fetus was diagnosed with a congenital intracranial teratoma and hydrocephalus at 20 weeks’ gestation. On prenatal ultrasonography, the fetus showed a severe macrocephalic hydrocephalus,along with a huge, heterogenous intracranial mass in the posterior fossa. After fetal cephalocentesis was performed at 21 weeks’gestation, the pregnancy was terminated vaginally without any complication. On the postmortem examination, the pathologic report revealed an intracranial immature teratoma. We report a case with a brief review of the literature.
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