Yavuz KÖKSAL, Ekrem ÜNAL, Rahmi ÖRS, Doğan KÖSE, Ali ACAR

Doğuştan kitlelerin tespiti için prenatal ultrasonografinin faydası

Amaç: Konjenital kitleler artmış perinatal komplikasyon ve ölüm riski ile ilişkilidir. Bu nedenle doğum öncesi görüntüleme çalışmaları, optimum doğum sonrası müdahaleleri belirlemek için esastır. Biz bu yazıda; konjenital kitlelerin belirlenmesinde prenatal ultrasonografinin yararlılığını değerlendirdik. Yöntem: Kitlesi olan 19 yenidoğan bebek bu retrospektif çalışmaya alındı. Ultrasonografik tanı, tanı anındaki gebelik yaşı, hayatta kalma ve hastalığın histolojik doğrulama verileri incelendi. Bulgular: Kitlesi olan bu 19 yenidoğan bebeğin 8 erkek ve 11 kız , 13’ünde %68 tanı prenatal dönemde konuldu. Kitleler abdominal n: 12 , göğüs n: 6 ve kranial n: 1 yerleşimli idi. Abdominal ve torakal kitlelerin prenatal tanı oranları sırasıyla, 10/12 %83 , 3/6 %50 idi. Intrakranial kitle ise prenatal dönemde tespit edilemedi. Prenatal saptanan kitlelerin kesin tanıları, 4 hastada; teratom, 2 hastada; over kistadenomu, 2 hastada; Wilms tümörü, 1 hastada; nöroblastom ve 1 hastada da; rabdomiyom idi. Kalan 3 hastada ise çeşitli mezenter kisti, gastroenterik kist, lenfanjioma kitleler vardı. Sonuç: Bizim veriler abdominal ve kistik kitlelerin prenatal dönemde ultrasonografik inceleme ile daha kolay tespit edildiğini göstermektedir.

Anahtar Kelimeler:

Konjenital kitle, prenatal ultrasonografi, yenidoğan.

The utility of prenatal ultrasonography for the detection of congenital masses

Objective: Congenital masses are associated with an increased risk for perinatal complications and death; therefore prenatal imagining studies are fundamental to determine the optimal postnatal interventions. Herein we evaluate the usefulness of the prenatal ultrasonography in determination of congenital masses. Method: Nineteen newborn babies with mass were enrolled in this retrospective study. Data of the ultrasonographic diagnosis, gestational age at diagnosis, survival, and histological confirmation of the disease were reviewed. Results: Of the 19 newborn babies 8 male and 11 female with mass, 13 patients were diagnosed prenatally 68% . The location of the masses were abdominal n: 12 , thoracic n: 6 and cranial n: 1 . The ratio of prenatal diagnosis of abdominal, and thoracic mass was established as 10/12 83% , 3/6 50% , respectively. The intracranial mass could not be detected in the prenatal period. Definitive diagnosis of the prenatally detected masses were teratoma in 4 patients, ovary cystadenoma in 2 patients, Wilms tumor in 2 patients, neuroblastoma in 1 patient, and rhabdomyoma in 1 patient. The remaining 3 patients had variety of masses mesenteric cyst, gastroenteric cyst, lymphangioma . Conclusion: Our data shows that abdominal and cystic masses are more easily detected during prenatal periods by ultrasonographic examination.

Keywords:

Congenital mass, neonate, prenatal ultrasonography,

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