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The British Journal of Radiology, Vol 70, Issue 835 750-753, Copyright © 1997 by British Institute of Radiology
ARTICLES |
P Kaminopetros, E Jauniaux, P Kane, M Weston, KH Nicolaides and DJ Campbell
Fetal Medicine Unit, St James's University Hospital, Leeds, UK.
An unusual case of fetal lymphangioma diagnosed before delivery is reported in a second trimester pregnant woman. The lymphangioma was suspected at 28 weeks on the basis of the ultrasound appearances and progression of the lesions with advancing gestation. MRI was used to evaluate the extent and the tissue characteristics of the lesions. Cytology of the fluid aspirated from the cystic lesions showed abundant lymphocytes and macrophages, confirming the diagnosis of a lymphangioma. The parents opted for a pregnancy termination because of the rapid growth of the lesions and the poor prognosis. It is suggested that the combination of these tests could enable the early diagnosis of these tumours at a stage when the lesion is relatively limited and accessible to therapy in utero.
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