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Tumour - Pericardial


Dr Gurleen Sharland  01 January 2001   
Source: Platypus

 Summary  Ultrasound Features  Differential Diagnoses  Images 2  Show All 

Pericardial teratoma is a rare condition in the fetus. This cystic tumour can compress the heart and cause fetal hydrops depending on its site. It tends to be related to the right atrium.
It is histologically benign but because of its size, it will usually lead to spontaneous intrauterine death. If the fetus survives to delivery, it may be possible to remove the tumour completely at surgery. There is a multicystic mass, usually related to the right atrium, projecting into the pericardial cavity. There will be an associated pericardial effusion.

The tumour may obstruct flow to the right side of the heart and cause fetal hydrops. The right heart may be underdeveloped as a result of restriction to blood flow.


Title: In: Paediatric Cardiology
Author: Losekoot TG, Becker AE
Journal: Anderson RH, McCartney FJ, Shinebourne EA, Tynan M (Eds). Churchill Livingstone: Edinburgh, p1153-1165
Year: 1987

Title: Prospective diagnosis of 1,006 consecutive cases of congenital heart disease in the fetus
Author: Allan LD, Sharland GK, Milburn A, Lockhart SM, Groves AMM, Anderson RH, Cook AC, Fagg NLK
Journal: J Am Coll Cardiol 23:1452-8
Year: 1994

Title: In: Colour Atlas of Fetal Cardiology
Author: Allan LD, Sharland G, Cook A
Journal: Mosby-Wolfe: London, p137-141
Year: 1994

Title: In: Heart Disease in Infants, Children and Adolescents
Author: Bharati S, Lev M
Journal: Adams FH, Emmanouilides GC, Riemenschneider TA (Eds) Williams and Wilkins: Baltimore, p886-890
Year: 1989

Title: Cardiac tumours in intrauterine life
Author: Groves AM, Fagg NLK, Cook AC, Allan LD
Journal: Arch Dis Child 67:1189-92
Year: 1992

Title: In utero sonographic diagnosis of diaphragmatic hernia with hepatic protrusion into the pericardium mimicking an
intrapericardial tumor
Author: Ake E, Fouron JC, Lessard M, Boisvert J, Grignon A, van Doesburg NH
Journal: Prenat Diagn 11:719-24
Year: 1991

Title: Prenatal diagnosis of intrapericardial teratoma
Author: Alegre M, Torrents M, Carreras E, Mortera C, Cusi V, Carrera JM
Journal: Prenat Diagn 10:199-202
Year: 1990

Title: Prenatal diagnosis of an intrapericardial teratoma: a cause for nonimmune hydrops
Author: Cyr DR, Guntheroth WG, Nyberg DA, Smith JR, Nudelman SR, Ek M
Journal: J Ultrasound Med 7:87-90
Year: 1988

Title: Fetal cardiac tamponade due to an intrapericardial teratoma.
Author: Tollens T; Casselman F; Devlieger H; Gewillig MH; Vandenberghe K; Lerut TE; Daenen WJ
Journal: Ann Thorac Surg Aug;66(2):559-60
Year: 1998

Title: Intrapericardial teratoma in a twin fetus: diagnosis and management.
Author: Sklansky M; Greenberg M; Lucas V; Gruslin-Giroux A
Journal: Obstet Gynecol May;89(5 Pt 2):807-9
Year: 1997


The ASUM Online Clinical Handbook is presented as an educational aid for experienced practitioners. It is the responsibility of the individual practitioner to determine how the information should be applied to individual cases.


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