The prenatal diagnosis of lymphangiomas and outcomes

Objectives

Our aim was to evaluate ultrasound findings and perinatal outcome after prenatal diagnosis of lymphangiomas

Methods

We searched the archives of our ultrasound database at our center for cases with a prenatal diagnosis of the lymphangioma in the period from 2008 to 2013. We described maternal, fetal and perinatal variables for all cases.

Results

Seven fetuses were diagnosed in our center as having the lymphangioma between 2008 and 2013. All cases were diagnosed during the second and third trimesters with the average gestational age of 24 ± 4 weeks. The average diameter of lymphangioma were 58,4 ± 22,5 mm at time of diagnosis. Four of the seven fetuses (57,1%) had lymphangioma in the neck. Three of the seven fetuses (42,9%) had lymphangioma in locations other than fetal neck. Fetal karyotyping was normal in all cases. Two of these fetuses was terminated. No abnormal doppler finding or hydrops were detected in the antenatal follow-up of remaining five cases. Cesarean section was performed due to dystocia for all cases.

Conclusion

The risk of chromosomal abnormalities is very low in pregnancies with isolated lymphangioma. The outcome of pregnancies with lymphangioma is generally favorable and prognosis depends on their locations and size.

Keywords

Chromosomal abnormalities, lymphangioma, perinatal outcome

	File/Dsecription
	Figure 1 USG appearance of fetal lymphangioma on the posterior of the neck
	Figure 2 The appearance of large lymphangioma on the axilla
	Figure 3 The appearance of lymphangioma extending to forearm