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Foetal intracranial teratoma: choosing the best time
and mode of delivery
LW Chan, TY Leung, TN Leung, TY Fung, TK Lau
Foetal Medicine Unit, Department of
Obstetrics and Gynaecology, Prince of
Wales Hospital, The Chinese University
of Hong Kong, Hong Kong
We present a case of foetal intracranial teratoma diagnosed at 28 weeks of gestation after
prior normal sonographic examinations. A multidisciplinary team, involving obstetricians,
neonatologists, and neurosurgeons, suggested management. The foetus was delivered by
lower segment caesarean section at 30 weeks of gestation but the neonate succumbed 3 days
after delivery, 1 hour after the withdrawal of active treatment. Issues governing the timing
and mode of delivery, together with the role of cephalocentesis in the management of this
condition, are discussed.
Hong Kong Med J 2007;13:323-6
Brain neoplasms; Infant, newborn;
Pregnancy; Teratoma; Ultrasonography,
prenatal
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