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FETAL SAKROKOKSİGEAL TERATOM: PRENATAL TANI VE YÖNETİM

FETAL SACROCOCCYGEAL TERATOMA:PRENATAL DIAGNOSIS AND MANAGEMENT

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Abstract (2. Language): 
Sacrococygeal teratoma (SCT), a germ cell tumor, is the most common fetal neoplasm. Patients with SCT have high mortality and morbidities due to heart failure, preterm delivery, anemia, distocia, and tumor rupture. A24 year-old woman was referred to our clinic due to a fetal mass at the 30th week of gestation. Ultrasonography revealed polyhydramniosis and a solid mass lesion in the sacral region which is consistent with sacrococcygeal teratoma. In the follow-up, maternal mirror syndrome developed, therefore, the pregnancy was terminated by cesarean section at the 31th week and 4 days. In this report we presented a case of sacrococcygeal teratom prenatally diagnosed and discussed the management options for the delivery.
Abstract (Original Language): 
Sakrokoksigeal teratom (SKT) germ hücre kaynakl›d›r ve en s›k görülen fetal tümördür. SKT’lu hastalarda yüksek debili kalp yetersizli¤i, preterm do¤um, anemi, distosi ve tümör rüptürü nedeniyle perinatal mortalite ve morbidite yüksektir. Yirmi dört yafl›ndaki hastam›z, 30. hafta gebelikte fetal kitle nedeniyle klini¤imize sevk edildi. Ultrasonografide fetal sakral bölgede sakrokoksigeal teratomla uyumlu solid a¤›rl›kl› kitle ve polihidroamnios saptand›. Takiplerimizde maternal mirror sendromu geliflmesi nedeniyle 31+4 günlük gebelikte sezaryen ile do¤um yapt›r›ld›. Bu yaz›da prenatal tan› konmufl sakrokoksigeal teratomlu bir olgunun gebelik takibi ve do¤um flekline iliflkin yaklafl›mlar tart›fl›lm›flt›r.
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