Tumors


Ovarian cyst, lymphangioma and sacrococcygeal teratoma are common.

Sacrococcygeal teratoma


Solid mass shadows icluding cysts are identified at the presacral and coccygeal region.
After cesarian section, early removal of mass is desirable.

Ovarian cyst:
Cystic mass (usually simple cyst) is identified in the abdomen. Differential diagnosis is required from duplication of the alimentary tract and renal cyst etc. Since natural disappearance may be expected, all cases have no surgical indication. A large cyst (more than 5 cm in diameter) and a cyst with torsion have surgical indication.
debris in the cyst (after torsion)


Lymphangioma:
Usually multilocular cystic mass is identified in the neck. Some cases associated with fetal hydrops may have an indication for fetal treatment (sclerotherapy) . Besides hydrops, compression of the airway should be evaluated before birth.
lymphangioma in the neck


Program for Prenatal Diagnosis

Pediatric SurgeryAOsaka University