Karyotype and outcome of fetuses diagnosed with cystic hygroma in the first trimester in relation to nuchal translucency thickness

Objectives To determine the incidence and to examine the karyotype and the outcome of fetuses diagnosed with cystic hygroma (CH) at 11–14 weeks of gestation. Methods The presence of bilateral cystic anechoic cavities in the neck, nuchal translucency (NT), malformations and hydrops was prospectively...

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Veröffentlicht in:Prenatal diagnosis 2006-04, Vol.26 (4), p.369-372
Hauptverfasser: Kharrat, Richard, Yamamoto, Masami, Roume, Joelle, Couderc, Sophie, Vialard, Francois, Hillion, Yvette, Ville, Yves
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container_end_page 372
container_issue 4
container_start_page 369
container_title Prenatal diagnosis
container_volume 26
creator Kharrat, Richard
Yamamoto, Masami
Roume, Joelle
Couderc, Sophie
Vialard, Francois
Hillion, Yvette
Ville, Yves
description Objectives To determine the incidence and to examine the karyotype and the outcome of fetuses diagnosed with cystic hygroma (CH) at 11–14 weeks of gestation. Methods The presence of bilateral cystic anechoic cavities in the neck, nuchal translucency (NT), malformations and hydrops was prospectively recorded in 6894 ultrasound examinations in the first trimester, between 2001 and 2004. Results Forty‐two fetuses (0.62%) were diagnosed with CH in the first trimester of pregnancy and 60% of these had an abnormal karyotype. NT was ≥3 mm in 83% and hydrops was present in 40% of the cases. The karyotype was abnormal in 25 (69%) of these, showing trisomy 18 and 45,XO more often than trisomy 21. NT was
doi_str_mv 10.1002/pd.1423
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Methods The presence of bilateral cystic anechoic cavities in the neck, nuchal translucency (NT), malformations and hydrops was prospectively recorded in 6894 ultrasound examinations in the first trimester, between 2001 and 2004. Results Forty‐two fetuses (0.62%) were diagnosed with CH in the first trimester of pregnancy and 60% of these had an abnormal karyotype. NT was ≥3 mm in 83% and hydrops was present in 40% of the cases. The karyotype was abnormal in 25 (69%) of these, showing trisomy 18 and 45,XO more often than trisomy 21. NT was &lt;3 mm in seven cases (17%); no hydrops was present and only one had an abnormal karyotype (47 + 18). Eight babies with CH without aneuploidy or hydrops were born alive, seven among them were without malformations and are developing normally at 1 to 18 months of age, the remaining one presented with CHARGE syndrome. Conclusions CH is an independent entity from NT and its association with increased NT carries a poor prognosis. Copyright © 2006 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.1423</identifier><identifier>PMID: 16566042</identifier><identifier>CODEN: PRDIDM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adult ; aneuploidy ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Chromosomes, Human, Pair 18 - genetics ; Congenital Abnormalities - epidemiology ; Congenital Abnormalities - genetics ; cystic hygroma ; Diseases of the lymphatic vessels ; Female ; first trimester ; Gestational Age ; Gynecology. Andrology. Obstetrics ; Humans ; Hydrops Fetalis - epidemiology ; Karyotyping ; Lymphangioma, Cystic - diagnostic imaging ; Lymphangioma, Cystic - epidemiology ; Lymphangioma, Cystic - genetics ; Management. Prenatal diagnosis ; Maternal Age ; Medical sciences ; nuchal translucency ; Nuchal Translucency Measurement ; Pregnancy ; Pregnancy Outcome ; Pregnancy Trimester, First ; Pregnancy. Fetus. Placenta ; Trisomy ; Ultrasonography, Prenatal ; ultrasound</subject><ispartof>Prenatal diagnosis, 2006-04, Vol.26 (4), p.369-372</ispartof><rights>Copyright © 2006 John Wiley &amp; Sons, Ltd.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright 2006 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4143-1125589a81398be6c2cc0fde699992281970a6c688f69f72b96f423de4d9a9db3</citedby><cites>FETCH-LOGICAL-c4143-1125589a81398be6c2cc0fde699992281970a6c688f69f72b96f423de4d9a9db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpd.1423$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpd.1423$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17666005$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16566042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kharrat, Richard</creatorcontrib><creatorcontrib>Yamamoto, Masami</creatorcontrib><creatorcontrib>Roume, Joelle</creatorcontrib><creatorcontrib>Couderc, Sophie</creatorcontrib><creatorcontrib>Vialard, Francois</creatorcontrib><creatorcontrib>Hillion, Yvette</creatorcontrib><creatorcontrib>Ville, Yves</creatorcontrib><title>Karyotype and outcome of fetuses diagnosed with cystic hygroma in the first trimester in relation to nuchal translucency thickness</title><title>Prenatal diagnosis</title><addtitle>Prenat. Diagn</addtitle><description>Objectives To determine the incidence and to examine the karyotype and the outcome of fetuses diagnosed with cystic hygroma (CH) at 11–14 weeks of gestation. Methods The presence of bilateral cystic anechoic cavities in the neck, nuchal translucency (NT), malformations and hydrops was prospectively recorded in 6894 ultrasound examinations in the first trimester, between 2001 and 2004. Results Forty‐two fetuses (0.62%) were diagnosed with CH in the first trimester of pregnancy and 60% of these had an abnormal karyotype. NT was ≥3 mm in 83% and hydrops was present in 40% of the cases. The karyotype was abnormal in 25 (69%) of these, showing trisomy 18 and 45,XO more often than trisomy 21. NT was &lt;3 mm in seven cases (17%); no hydrops was present and only one had an abnormal karyotype (47 + 18). Eight babies with CH without aneuploidy or hydrops were born alive, seven among them were without malformations and are developing normally at 1 to 18 months of age, the remaining one presented with CHARGE syndrome. Conclusions CH is an independent entity from NT and its association with increased NT carries a poor prognosis. Copyright © 2006 John Wiley &amp; Sons, Ltd.</description><subject>Adult</subject><subject>aneuploidy</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Chromosomes, Human, Pair 18 - genetics</subject><subject>Congenital Abnormalities - epidemiology</subject><subject>Congenital Abnormalities - genetics</subject><subject>cystic hygroma</subject><subject>Diseases of the lymphatic vessels</subject><subject>Female</subject><subject>first trimester</subject><subject>Gestational Age</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hydrops Fetalis - epidemiology</subject><subject>Karyotyping</subject><subject>Lymphangioma, Cystic - diagnostic imaging</subject><subject>Lymphangioma, Cystic - epidemiology</subject><subject>Lymphangioma, Cystic - genetics</subject><subject>Management. Prenatal diagnosis</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>nuchal translucency</subject><subject>Nuchal Translucency Measurement</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Trisomy</subject><subject>Ultrasonography, Prenatal</subject><subject>ultrasound</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EoktB_APkC3BAKf5InORYtlA-yvIhEEfLa4-7pkkcbEclV345XjaiJ4RlyZbnmRnP-yL0kJITSgh7PpoTWjJ-C60oaeuCMMZvoxWh-c6bih6hezF-z2DD2vouOqKiEoKUbIV-vVNh9mkeAavBYD8l7XvA3mILaYoQsXHqcvARDL52aYf1HJPTeDdfBt8r7AacdoCtCzHhFFwPMUHYPwfoVHI-xz0eJr1TXY6rIXaThkHPOc3pqwFivI_uWNVFeLCcx-jrq5df1q-Liw_nb9anF4UuackLSllVNa1qKG-bLQjNtCbWgGjzYqzJsxIltGgaK1pbs20rbJbEQGla1ZotP0ZPDnXH4H9M-Z-yd1FD16kB_BSlqBtGCC__C9KakirvDD49gDr4GANYOWYFsqCSErn3RY5G7n3J5KOl5LTtwdxwixEZeLwAKmrV2ayUdvGGq0Xm_rR8duCuXQfzv_rJj2dL2-JAu-zKz7-0Cld5Wl5X8tvmXL4926w_bd6_kJ_5b-d-s5g</recordid><startdate>200604</startdate><enddate>200604</enddate><creator>Kharrat, Richard</creator><creator>Yamamoto, Masami</creator><creator>Roume, Joelle</creator><creator>Couderc, Sophie</creator><creator>Vialard, Francois</creator><creator>Hillion, Yvette</creator><creator>Ville, Yves</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>200604</creationdate><title>Karyotype and outcome of fetuses diagnosed with cystic hygroma in the first trimester in relation to nuchal translucency thickness</title><author>Kharrat, Richard ; Yamamoto, Masami ; Roume, Joelle ; Couderc, Sophie ; Vialard, Francois ; Hillion, Yvette ; Ville, Yves</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4143-1125589a81398be6c2cc0fde699992281970a6c688f69f72b96f423de4d9a9db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>aneuploidy</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Chromosomes, Human, Pair 18 - genetics</topic><topic>Congenital Abnormalities - epidemiology</topic><topic>Congenital Abnormalities - genetics</topic><topic>cystic hygroma</topic><topic>Diseases of the lymphatic vessels</topic><topic>Female</topic><topic>first trimester</topic><topic>Gestational Age</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hydrops Fetalis - epidemiology</topic><topic>Karyotyping</topic><topic>Lymphangioma, Cystic - diagnostic imaging</topic><topic>Lymphangioma, Cystic - epidemiology</topic><topic>Lymphangioma, Cystic - genetics</topic><topic>Management. Prenatal diagnosis</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>nuchal translucency</topic><topic>Nuchal Translucency Measurement</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Trimester, First</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Trisomy</topic><topic>Ultrasonography, Prenatal</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kharrat, Richard</creatorcontrib><creatorcontrib>Yamamoto, Masami</creatorcontrib><creatorcontrib>Roume, Joelle</creatorcontrib><creatorcontrib>Couderc, Sophie</creatorcontrib><creatorcontrib>Vialard, Francois</creatorcontrib><creatorcontrib>Hillion, Yvette</creatorcontrib><creatorcontrib>Ville, Yves</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kharrat, Richard</au><au>Yamamoto, Masami</au><au>Roume, Joelle</au><au>Couderc, Sophie</au><au>Vialard, Francois</au><au>Hillion, Yvette</au><au>Ville, Yves</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Karyotype and outcome of fetuses diagnosed with cystic hygroma in the first trimester in relation to nuchal translucency thickness</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat. Diagn</addtitle><date>2006-04</date><risdate>2006</risdate><volume>26</volume><issue>4</issue><spage>369</spage><epage>372</epage><pages>369-372</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><coden>PRDIDM</coden><abstract>Objectives To determine the incidence and to examine the karyotype and the outcome of fetuses diagnosed with cystic hygroma (CH) at 11–14 weeks of gestation. Methods The presence of bilateral cystic anechoic cavities in the neck, nuchal translucency (NT), malformations and hydrops was prospectively recorded in 6894 ultrasound examinations in the first trimester, between 2001 and 2004. Results Forty‐two fetuses (0.62%) were diagnosed with CH in the first trimester of pregnancy and 60% of these had an abnormal karyotype. NT was ≥3 mm in 83% and hydrops was present in 40% of the cases. The karyotype was abnormal in 25 (69%) of these, showing trisomy 18 and 45,XO more often than trisomy 21. NT was &lt;3 mm in seven cases (17%); no hydrops was present and only one had an abnormal karyotype (47 + 18). Eight babies with CH without aneuploidy or hydrops were born alive, seven among them were without malformations and are developing normally at 1 to 18 months of age, the remaining one presented with CHARGE syndrome. Conclusions CH is an independent entity from NT and its association with increased NT carries a poor prognosis. Copyright © 2006 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>16566042</pmid><doi>10.1002/pd.1423</doi><tpages>4</tpages></addata></record>
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subjects Adult
aneuploidy
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Chromosomes, Human, Pair 18 - genetics
Congenital Abnormalities - epidemiology
Congenital Abnormalities - genetics
cystic hygroma
Diseases of the lymphatic vessels
Female
first trimester
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Hydrops Fetalis - epidemiology
Karyotyping
Lymphangioma, Cystic - diagnostic imaging
Lymphangioma, Cystic - epidemiology
Lymphangioma, Cystic - genetics
Management. Prenatal diagnosis
Maternal Age
Medical sciences
nuchal translucency
Nuchal Translucency Measurement
Pregnancy
Pregnancy Outcome
Pregnancy Trimester, First
Pregnancy. Fetus. Placenta
Trisomy
Ultrasonography, Prenatal
ultrasound
title Karyotype and outcome of fetuses diagnosed with cystic hygroma in the first trimester in relation to nuchal translucency thickness
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