RESUMO
Antecedentes: Los hemangiomas cutáneos son unas de las anomalías congénitas más frecuentes en el recién nacido. La búsqueda bibliográfica revela que la información respecto a su diagnóstico prenatal y actitud terapéutica es muy dispersa. Caso clínico: Presentamos el diagnóstico prenatal de un hemangioma fetal de grandes dimensiones, de 63 x 48 mm, localizado en cara anterior del muslo fetal izquierdo que es detectado inicialmente por ecografía en la semana 28 y confirmado por resonancia nuclear magnética. Conclusiones: Planteamos las alternativas diagnósticas que surgen ante este hallazgo, así como su pronóstico y manejo.
Background: Cutaneous hemangiomas are a really common congenital malformation in neonates. A literature search has revealed a sparsity of information about prenatal diagnosis and management. Case report: We present the prenatal diagnosis of a giant-size cutaneous hemangioma (63 x 48 mm), located in the left thigh by ultrasonography in the 28th week of pregnancy and confirmed by magnetic resonance imaging. Conclusion: We propose diagnostic possible alternatives, prognosis and management.
Assuntos
Humanos , Feminino , Gravidez , Recém-Nascido , Adulto , Hemangioma/diagnóstico por imagem , Neoplasias Cutâneas/diagnóstico por imagem , Ultrassonografia Pré-NatalRESUMO
Objective To assess the efficacy of a long-pulsed 1064 nm Nd :YAG laser system in treating pediatric cutaneous hemangiomas. Methods 207 patients (20 days-10 years old,164 cases in pro-liferative phase and 43 in stationary phase) with cutaneous hemangiomas were divided into 2 groups ac-cording lesions. Group A contained 142 patients with lesions located in skin completely. Group B con-tained 65 patients, in which the lesions involved in subcutaneous portion. All patients were treated with single pulse shots by a long-pulsed 1 064 nm Nd :YAG laser, with 2 mm and 6 mm spot size in diameter, and with related energies from 50 to 90 J/cm~2 and pulse lengths of 10, 40 and 60 ms, respectively. All treatments were given at 1-month interval. Results After 1-6 times of treatment, there was no statistic significance of effective rate between group A and group B. Both general effective rates were 100%. The rate of side effects was 11.6 %, all of which recovered gradually. Conclusions The long-pulsed 1064 nm Nd : YAG laser offers efficient treatment of pediatric superficial cutaneous hemangiomas and side effects are minimal and transient.