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PRENATAL ASPECTS OF GIANT FETAL CRANIAL HAEMANGIO-ENDOTHELIOMA

✍ Scribed by PIERRE BOULOT; FRANÇOISE DESCHAMPS; FRANÇOISE MONTOYA; PEDRO MONTOYA; ALAIN COUTURE; JEAN-LOUIS FERRAN; G. LEFORT

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 814 KB
Volume: 16
Category: Article
ISSN: 0197-3851
DOI: 10.1002/(sici)1097-0223(199604)16:4<357::aid-pd853>3.0.co;2-1

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✦ Synopsis

A case of a large vascular lesion of the skull is reported. The lesion was discovered at 22 weeks' gestation and it rapidly increased in size, reaching 8 cm a month later. Tumor echogenicity was the same as that for soft tissues and colour Doppler examination revealed intense vascularization. Cordocentesis showed features of the Kasabach-Merritt syndrome and very high plasma levels of alpha-fetoprotein. A Caesarean section was performed to avoid dystocia and led to the birth of a baby with cardiac failure in the immediate neonatal period. Biopsies of the mass led to the diagnosis of a non-malignant haemangio-endothelioma. The mass was removed and plastic surgery performed. The baby is alive and well 9 months after the operation.

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