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Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2008

Antenatal diagnosis of a third ventricular mass: fetus in fetu or teratoma?

СтатьяНазвание и аннотация: Перевод в очереди
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Marnet Dominique, Vinchon Matthieu, Kerdraon Olivier, Joriot Sylvie, Chafiotte Caroline, Dhellemmes Patrick

Аннотация

BACKGROUND: Fetus in fetu (FIF) is a rare condition in medicine where an aberrant monozygotic twining results in inclusion of a degenerated fetus inside its twin bearer. Whereas FIF is generally defined as a fetiform vertebrate mass, teratoma is considered as a tumor composed of disorganized tissues derived from the three embryological layers. Recent data plead for a common origin and suggest a continuum between FIF and teratoma.

CASE HISTORY: We describe the case of an intraventricular mass diagnosed by prenatal imaging and associated with triventricular hydrocephalus. Surgical removal of a non-vertebrate mass covered by normal skin was performed when the child was 15 months old. Now aged of 30 months, the child continues to develop normally. Histological data were in favor of a FIF.

DISCUSSION: We discuss the diagnosis, pathogenesis, and prognosis in the light of data from the recent literature.

CONCLUSIONS: Aberrant monozygotic twining leading to inclusion of a degenerate fetus inside its twin bearer results in FIF or teratomas. Surgical removal represents the main treatment. Intracranial FIF remains an extremely rare congenital condition, with a favorable oncological prognosis; the developmental prognosis appears conditioned by the absence of other malformation, the small size of the lesion, and the early management of intracranial hypertension.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты