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Management of fetal teratomas

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Abstract

Fetal teratomas are the most common tumors diagnosed prenatally. The majority of these tumors are benign and cured by complete resection of the mass during the neonatal period. Prenatal diagnosis has improved the perinatal management of these lesions and especially for the teratomas that might benefit from fetal intervention. A comprehensive prenatal evaluation including conventional ultrasounds, Doppler, echocardiography and fetal MRI, is essential for an effective counseling and perinatal management. Antenatal counseling helps the parents to better understand the natural history, fetal intervention, and perinatal management of these tumors, which differ dramatically depending on their size and location. Fetal surgical debulking improves survival in cases of sacrococcygeal teratoma with cardiac decompensation. Additionally, the use of an EXIT procedure reduces the morbidity and mortality if a complicated delivery in cases of cervical and mediastinal teratomas. Here, we offer an overview of all fetal teratomas and their recommended management, with emphasis on in utero treatment options.

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Acknowledgments

L.S (1D) is recipient of Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq, Brazil) Productivity fellowship # 302433/2014-7 and Sao Paulo Research Foundation (Fapesp # 2014/02519-6). Trish Burns, RN, BSN for her help in data managing.

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  1. Cincinnati Fetal Center, Pediatric General and Thoracic Surgery Division, Cincinnati Children’s Hospital Medical Center (CCHMC), University of Cincinnati, 3333 Burnet Avenue, MLC 11025, Cincinnati, OH, 45229-3039, USA

    Jose L. Peiró, Lourenço Sbragia, Federico Scorletti, Foong Y. Lim & Aimen Shaaban

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  1. Jose L. Peiró
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Correspondence to Jose L. Peiró.

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Peiró, J.L., Sbragia, L., Scorletti, F. et al. Management of fetal teratomas. Pediatr Surg Int 32, 635–647 (2016). https://doi.org/10.1007/s00383-016-3892-3

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