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【读片】产科疑难超声病例（353）：舌部巨大血管瘤

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Case report
A 25-year-old woman (G1P0) was referred to our hospital at 26 weeks of gestation.Ultrasonographic examination of the fetus found following anomaly:
患者25岁，G1P0，孕26周来我处就诊。超声检查发现如下结果：
Images 1, 2, 3, 4, 5, and 6 and video:

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2013-09-12 22:23 浏览 : 12450 回复 : 186

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xihuansushi 编辑于 2013-10-12 23:21

• 【2021版】讨论：以消化道症状为主而非消化科疾病的诊治案例

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Case report
A 25-year-old woman (G1P0) was referred to our hospital at 26 weeks of gestation due to a tumorous lesion of the fetal tongue that was considered to be an epignathus. Physical examination of the mother revealed a small hemangioma of her tongue. In mother family there were also hemangiomas diagnosed in some of her relatives.
患者25岁，G1P0，孕26周因发现胎儿舌部肿瘤性病变怀疑上颌寄生胎来我处就诊。母体体格检查发现其舌部有一小血管瘤，其家族中的一些亲属也存在血管瘤。
Ultrasonographic examination of the fetus found a giant, well vascularized tumorous mass protruding out of fetal mouth. Considering the anamnesis and the finding, diagnosis of the giant hemangioma of the tongue was presumed. Cesarean section was performed at 39 weeks. The newborn weighing 3800 g had to be intubated and required ventilation. Giant tumor originating in the tongue was protruding from the mouth of the newborn. As the bleeding within the tumor occurred, condom was placed on the tongue to stop it. The newborn underwent embolization of the feeding vessels of the mass and subsequent surgical removal of the tumor. Histological study of the tumor confirmed hemangioma of the tongue. Postoperative course was normal and the newborn doing well.
超声检查发现一较大的血供丰富的肿块自胎儿口内向外凸出，结合其既往病史和表现，我们怀疑为巨大血管瘤。孕39周经剖腹产分娩，新生儿体重3800g，为保证其呼吸顺畅进行了喉管插管。巨大血管瘤来源于舌部，自口内向外凸出。由于肿瘤内部出血，用橡皮套系于舌部进行止血。先对新生儿进行了肿瘤供养动脉的栓塞，随后经手术切除。术后组织学检查确定为舌部血管瘤。新生儿术后恢复良好。
Images 1, 2, 3, 4, 5, 6, 7, and 8: Prenatal ultrasonographic images of the fetus with the giant hemangioma of the tongue.
产前超声检查发现胎儿舌部巨大血管瘤。

Video 1: Prenatal ultrasonographic appearance of the giant hemangioma of the fetal tongue.
产前超声显示胎儿舌部的巨大血管瘤。

Images 9, 10: Postnatal images of the fetus with the giant hemangioma of the tongue. Condom is placed on the tongue to stop the intraparenchymal bleeding that occurred after delivery.
产后新生儿的舌部巨大血管瘤照片。由于分娩后血管瘤出现内部出现，采用橡皮套进行止血。

Image 11: Postnatal X-ray during embolization of feeding vessels of the giant lingual hemangioma.
产后对舌部的巨大血管瘤进行动脉栓塞的x线表现。

Images 12, 13, 14: Perioperative images and histological specimen of the hemangioma of the tongue.
术中图片以及术后的血管瘤标本

Image 15, 16: Appearance of the tongue of the newborn after surgical removal of the lingual hemangioma.
术后照片

Image 17: Mother of the newborn also had small hemangioma of the tongue.
新生儿的母亲也存在舌部的小血管瘤。

2013-09-27 22:07

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xihuansushi 编辑于 2013-09-27 22:29

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【读片】产科疑难超声病例（353）：舌部巨大血管瘤

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