Early prenatal detection of a fast-growing fetal epignathus

The Journal of Obstetrics and Gynaecology Research
Gyula R NagyJános Rigó

Abstract

Epignathus is a rare congenital orofacial teratoma. We present a case of a fast-growing tumor, where early prenatal diagnosis was made and where fetopathological examination revealed the reason of the remarkable ultrasonographic signs and underlined the expected poor prognosis. Ultrasonographic examination at 18 weeks' gestation showed that there was a growing tumor protruding from the fetus's mouth. The fetal stomach could not be seen and extreme polyhydramnios was also detected. After counseling, the couple opted for a termination of pregnancy. Fetopathological examination showed that the tumorosus mass was not only protruding from the mouth, but also inexplicably grew downwards, was connected to the hard palate and the periosteum of the vertebral corpus, making an airway and esophageal obstruction, causing the ultrasonographic findings. Postnatal treatment and surgical removal of this tumor seemed to be impossible. In case of an early detection of a fast-growing fetal epignathus, pregnancy termination should be considered.

References

May 1, 1996·Acta Obstetricia Et Gynecologica Scandinavica·E EkiciO Gokmen
Jan 24, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Guo Zhi ZhangYi Fang Zhao
Feb 3, 2007·Journal of Clinical Ultrasound : JCU·George DaskalakisAris Antsaklis
Aug 25, 2007·The British Journal of Oral & Maxillofacial Surgery·Renato da Silva FreitasCésar Vinicius Grande
Sep 19, 2009·Pediatric Radiology·Maria A Calvo-GarciaBernadette L Koch
May 18, 2010·Archives of Gynecology and Obstetrics·Gabriele TonniC Ginanneschi

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Citations

Apr 17, 2016·Seminars in Fetal & Neonatal Medicine·Greg RyanTimothy M Crombleholme
Oct 30, 2013·Fetal and Pediatric Pathology·Farahnaz FaghfouriLionel Carbillon

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