Abstract:
BACKGROUND/PURPOSE:The purpose of this study is to describe the prenatal findings and postnatal outcomes of fetuses with axillary lymphatic malformations. METHODS:Retrospective chart review of fetuses with the prenatal diagnosis of isolated axillary lymphatic malformation detected between 2009 and 2013. RESULTS:There were 8 fetuses diagnosed with isolated axillary lymphatic malformation. Median gestational age at diagnosis was 20.5 (19-28) weeks. All fetuses were evaluated by serial ultrasound and ultrafast fetal MRI. Two pregnancies were electively terminated. All continued pregnancies reached term, and all fetuses were delivered by cesarean section. None of the fetuses developed polyhydramnios or hydrops fetalis. Only one patient had an associated malformation (coarctation of the aorta). All patients were evaluated postnatally by MRI. Treatment included sclerotherapy only (1), sclerotherapy followed by surgical resection (1), surgical resection only (3), and observation (1). The median postnatal hospital stay was 8 (6-15) days. Three cases recurred after the initial treatment, two after surgery and one after sclerotherapy. On a median follow up of 2.1 years, all patients have some degree of visible residual disease. There were no deaths. CONCLUSIONS:Prenatal diagnosis of axillary lymphatic malformation is increasing with improved technology. Axillary lymphatic malformations are usually isolated developmental anomalies that do not affect fetal health. Postnatal management options include surgery, sclerotherapy, and observation. Recurrences and residual disease after all types of treatment are frequent. This should be communicated to the parents at the time of prenatal counseling.
journal_name
J Pediatr Surgjournal_title
Journal of pediatric surgeryauthors
Olive A,Moldenhauer JS,Laje P,Johnson MP,Coleman BG,Victoria T,Flake AW,Adzick NSdoi
10.1016/j.jpedsurg.2015.03.066subject
Has Abstractpub_date
2015-10-01 00:00:00pages
1711-5issue
10eissn
0022-3468issn
1531-5037pii
S0022-3468(15)00312-7journal_volume
50pub_type
杂志文章abstract::The etiology of changes in the bowel in gastroschisis is unknown. A case of exomphalos is described, in which the bowel had a gastroschisis-like appearance. The possibility of a vascular mechanism as the cause is discussed. ...
journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/s0022-3468(96)90735-6
更新日期:1996-03-01 00:00:00
abstract:PURPOSE:There is a predisposition to the development of malignancy in congenital choledochal malformation (CCM) although the degree of risk is unknown. We investigated the role of CA19-9 in bile and the MIB-1 (Ki-67) epithelial proliferation index as markers of an at risk choledochal epithelium at the time of definitiv...
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journal_title:Journal of pediatric surgery
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abstract::Over 200 cases of colonic hemangioma have been reported, with more than 50% occurring in the rectosigmoid. These benign vascular neoplasms usually present in childhood, often with life-threatening hemorrhage. Lack of awareness of the condition continues to lead to errors in diagnosis and management, and may contribute...
journal_title:Journal of pediatric surgery
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doi:10.1016/s0022-3468(88)80018-6
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abstract::A classification of vaginal anomalies has been derived, which permits logical operative decisions. This tool allows the assignment of increasingly involved reconstructive operations to progressively more complex vaginal anatomies. The outcome of this approach in 49 vaginal reconstructions performed in 36 patients over...
journal_title:Journal of pediatric surgery
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journal_title:Journal of pediatric surgery
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/s0022-3468(96)90745-9
更新日期:1996-03-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/j.jpedsurg.2007.06.021
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Journal of pediatric surgery
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journal_title:Journal of pediatric surgery
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doi:10.1016/j.jpedsurg.2012.09.048
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:1983-10-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/s0022-3468(97)90457-7
更新日期:1997-11-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/0022-3468(94)90005-1
更新日期:1994-07-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:1994-10-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:1996-03-01 00:00:00
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journal_title:Journal of pediatric surgery
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pub_type: 杂志文章
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:1996-06-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/s0022-3468(87)80432-3
更新日期:1987-02-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:2013-06-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/j.jpedsurg.2009.05.032
更新日期:2009-11-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章,meta分析
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更新日期:2019-04-01 00:00:00
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journal_title:Journal of pediatric surgery
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:1986-05-01 00:00:00
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
doi:10.1016/j.jpedsurg.2012.07.050
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:The use of transinguinal laparoscopy for contralateral groin exploration during unilateral inguinal hernia repair has gained popularity. Controversy exists, however, regarding its use in older children. We report a large, single-surgeon series describing the safety and effectiveness of this procedure. METHO...
journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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更新日期:2011-12-01 00:00:00