Hong Kong Med J 2007;13:323-6 | Number 4, August 2007
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.
Key words: Brain neoplasms; Infant, newborn; Pregnancy; Teratoma; Ultrasonography, prenatal
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