Teratoma Sacrococcígeo: Diagnóstico, Evaluación y Terapia prenatal
María Carolina Silva García1, Daniela Gálvez Silva2
1. Médico Cirujano, especialista en Ginecología y Obstetricia. Becaria de la subespecialidad de Medicina Materno-Fetal del Hospital Clínico de la Universidad de Chile.
2. Médico Cirujano. Becaria de la especialidad de Ginecología y Obstetricia del Hospital Clínico de la Universidad de Chile
Resumen | Abstract | Texto completo HTML | Descargar texto en pdf |
The sacrococcygeal teratoma is the most common tumor during prenatal period. Although its frequency is low, together with hydrops could determine the occurrence of fetal heart failure, and subsequent fetal death in utero. Prenatal ultrasonographic evaluation, should be directed toward selection of those fetuses as candidates for prenatal therapy, to improve their perinatal outcome, when they present hemodynamic compromise while they are under fetal viability. The purpose of this update is to expose the tools currently used to conduct the assessment and the results of prenatal surgery. The fetal cardiovascular profile score by ultrasound is proposed as a sensible and useful tool in the selection of candidates for prenatal intervention.
Both open surgery as minimally invasive approach are presented as alternatives in the prenatal management of fetus as candidates to intervention, has been reported a survival about 50 and 44% respectively.
Key words: sacrococcygeal teratoma, prenatal therapy, prenatal surgery |
