ECHOGRAPHIC CHARACTERISTICS OF DUPLICATION CYST OF THE FETAL ORAL CAVITY


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Abstract

Objective. To improve the quality of prenatal diagnosis of duplication cyst of the fetal oral cavity, by identifying the echographic criteria of this pathology. Subject and methods. The two- and three-dimensional echograms of a fetus with duplication cyst of the oral cavity were retrospectively analyzed; the echographic criteria for this pathology were identified. The morphological characteristics of the duplication cyst were described. Results. Echographic examination of fetal face structures revealed a 3.5x4.3x4.0 cm tumor-like mass with well-defined external outlines and a homogeneous highly dispersed structure, which originated from the oral cavity. Three-dimensional reconstruction clearly showed that the tumor completely blocked the mouth opening and originated from the oropharynx, without deforming the facial skeleton and tissues of the upper lip. Epignathus was diagnosed. As the woman wished, her pregnancy was terminated at 22 weeks. Histological examination of the tumor based on its morphological characteristics diagnosed duplication cyst of the oral cavity. Conclusion. Duplication cyst of the fetal oral cavity is a rare abnormality that is characterized by specific echographic features and accessible to prenatal diagnosis. This abnormality is successfully surgically treated; in this connection the pregnancy management tactics must be expectant in its established diagnosis.

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About the authors

Liliyana Anatol'evna CHUGUNOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: l_chugunova@oparina4.ru
MD, Department of Ultrasound diagnostics 117997, Russia, Moscow, Ac. Oparinf Str. 4

Lilit OVSEPYAN

Erebuni Medical Center

Email: lhovsepyan@yahoo.com
MD, Senior obstetrician of Obstetrics Department Titogradyan Str. 14, Yerevan, Armenia

Armen Gevorgovich MKHITARYAN

Muratsan Hospital Complex, M. Heratsi Yerevan State Medical University

Email: armpath@yahoo.com
MD, PhD, Assistant Professor of the Department of Clinical Pathology Armenia, Yerevan, Koryun Str. 2

Arcady Mikhaylovich STYGAR

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_stygar@oparina4.ru
MD, PhD, FD of Department of Ultrasound Diagnosis 117997, Russia, Moscow, Ac. Oparinf Str. 4

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