scholarly journals P10.21: Karyotype and outcome of 43 fetuses diagnosed in the first trimester with cystic hygroma in relation with nuchal translucency measurement

2004 ◽  
Vol 24 (3) ◽  
pp. 326-326
Author(s):  
R. Kharrat ◽  
M. Yamamoto ◽  
S. Couderc ◽  
Y. Ville
Keyword(s):  
First Trimester ◽  
Nuchal Translucency ◽  
Cystic Hygroma ◽  
Nuchal Translucency Measurement

Karyotype and outcome of fetuses diagnosed with cystic hygroma in the first trimester in relation to nuchal translucency thickness

2006 ◽  
Vol 26 (4) ◽  
pp. 369-372 ◽  
Author(s):  
Richard Kharrat ◽  
Masami Yamamoto ◽  
Joelle Roume ◽  
Sophie Couderc ◽  
Francois Vialard ◽  
...  
Keyword(s):  
First Trimester ◽  
Nuchal Translucency ◽  
Cystic Hygroma

scholarly journals EARLY FETAL HYDROPIC CHANGES ARE ASSOCIATED WITH MODERATE DILATATION OF THE BRAIN VENTRICULAR SYSTEM: A CLUE TO A POSSIBLE LINK BETWEEN CERVICAL LYMPHATIC ENGORGEMENT AND VENTRICULAR DILATATION?

Lymphology ◽  
2019 ◽  
Vol 52 (1) ◽  
Author(s):  
D Paladini ◽  
G Donarini ◽  
A Conti ◽  
L Costanza De Angelis ◽  
MH Witte ◽  
...  
Keyword(s):  
Three Dimensional ◽  
First Trimester ◽  
Nuchal Translucency ◽  
Cystic Hygroma ◽  
Ventricular System ◽  
Fetal Head ◽  
Biparietal Diameter ◽  
Inter Observer Variability ◽  
Trimester Screening ◽  
The One

The aim of this study is to assess whether early cervical lymphatic obstruction is associated with a sonographically detectable dilatation of the ventricular system in the 1st trimester of pregnancy. In particular, the objective is to assess whether fetuses with non-immune hydrops fetalis (NIHF), cystic hygroma, or enlarged nuchal translucency (NT) have a greater atrial width/biparietal diameter (AW/BPD) ratio than normal at time of the combined first trimester screening scan. This retrospective study included 96 first trimester fetuses (33 normal and 63 with various degree of cervical lymphatic engorgement). Inclusion criteria were CRL in the 45-84 mm range and availability of one or more three-dimensional volume datasets of the fetal head, acquired from the BPD plane. Each three-dimensional volume dataset was opened and multiplanar correlation employed to align the three orthogonal planes. The ratio between the atrial width and the BPD (AW/BPD ratio) was used to evaluate the possible presence of increased amount of cerebrospinal fluid. Abnormal cases were placed into 4 categories: 1)enlarged non-septated NT 2.5-3.9 mm, no hydrops; 2) grossly enlarged non-septated NT/ edema >3.9 mm; 3) cystic hygroma and/or NIHF; 4) major anomalies with NT <2.5 mm. Presence of dilatation of the latero-cervical jugular lymphatic sacs, karyotype and presence of congenital anomalies were also recorded. The One-way ANOVA test was used to compare means. Intra- and inter-observer variability were also assessed. The AW/BPD ratio was found to be significantly higher in fetuses with grossly enlarged NT/nuchal edema and NIHF/septated cystic hygroma than in normal (p <0.05 and p <0.01, respectively). Also, the AW/BPD ratio was significantly higher in NIHF/septated cystic hygroma than in enlarged NT 2.5-3.9 mm (p <0.05). In case of enlarged NT (2.5-3.9 mm), the AW/BPD ratio is significantly higher in presence of JLS (p <0.01). At the end of the first trimester, presence of cervical lymphatic engorgement, in terms of grossly enlarged NT, nuchaledema, septated cystic hygroma, and NIHF, is statistically associated with a moderate dilatation of the ventricular system. Of note, among fetuses with moderately enlarged NT, those with evidence of dilatation of the JLS show a statistically significant increase in the AW/BPD ratio.

Screening for Fetal Chromosomal Abnormalities with Nuchal Translucency Measurement in the First Trimester

2006 ◽  
Vol 21 (4) ◽  
pp. 355-359 ◽  
Author(s):  
Recep Has ◽  
İbrahim Kalelioglu ◽  
Hayri Ermis ◽  
Lemi Ibrahimoglu ◽  
Atil Yuksel ◽  
...  
Keyword(s):  
Chromosomal Abnormalities ◽  
First Trimester ◽  
Nuchal Translucency ◽  
Nuchal Translucency Measurement

scholarly journals CYSTIC HYGROMA AND THE IMPORTANCE OF THE PRENATAL DIAGNOSIS: ABOUT A CASE

2020 ◽  
Vol 31 (Issue 2) ◽  
pp. 39-44
Author(s):  
I. Almonacid ◽  
P. Zuleta ◽  
C. Neri ◽  
A. Zannin ◽  
M. Garzón ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Developmental Disorders ◽  
Antenatal Diagnosis ◽  
Histological Study ◽  
Fatal Outcome ◽  
First Trimester ◽  
Vascular Tumor ◽  
Nuchal Translucency ◽  
Cystic Hygroma ◽  
Cystic Lymphangioma

The cystic hygroma is the malformation of the lymphatic system that is most frequently observed in the prenatal period and is located mainly in the neck and/or the nape of the neck. Its detection rate has increased since the implementation of fetal nuchal translucency (NT) in the first trimester of pregnancy and its presence has been associated with congenital abnormalities, aneuploidies, pregnancy loss, and developmental disorders. The aim of this case is to highlight the importance of antenatal diagnosis of cystic hygroma in order to perform early intervention and avoid fetal death. It is received, for anatomopathological study, a fetus of undetermined sex product of the first pregnancy of a 19 year-old mother without previous prenatal controls, with the presence of a large cystic mass that extends from the face to the neck. The histological study confirms the diagnosis of cystic hygroma. As there was no karyotype analysis, it was not possible to establish the preexistence of any genetic abnormality. Also known as cystic lymphangioma, is a benign vascular tumor whose antenatal diagnosis by ultrasonography is essential in the evolution and prognosis of the disease. Unfortunately in our case, the lack of prenatal controls and the absence of ultrasonographic studies that would allow knowing the characteristics of this lymphangioma, could significantly impact in the fatal outcome. Key words: lymphangioma; prenatal diagnosis; fetal nuchal translucency.

scholarly journals Response to “Half of first trimester screen positive pregnancies with an abnormal karyotype had a normal nuchal translucency measurement”

2013 ◽  
Vol 33 (10) ◽  
pp. 1015-1015
Author(s):  
Christina Alamillo ◽  
David Krantz ◽  
Mark Evans ◽  
Morris Fiddler ◽  
Eugene Pergament
Keyword(s):  
First Trimester ◽  
Nuchal Translucency ◽  
Abnormal Karyotype ◽  
Nuchal Translucency Measurement
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