Prenatal ultrasound diagnosis of congenital infantile fibrosarcoma and congenital hemangioma: Three case reports

Table 1 Summary of the three cases

		Case 1	Case 2	Case 3
Age (yr)		31	29	32
History of gravida and para		G 1 P 0	G 1 P 0	G 2 P 1
Singleton/Twin		Singleton	Singleton	Twin
GA at diagnosis (wk + d)		28 + 0	23 + 1	28 + 3
Location		The left axilla to the left chest wall	The root of the right thigh	Thoracic and abdominal wall
Prenatal fetal ultrasound findings at diagnosis	Size (cm)	3.2 × 3.0	2.6 × 1.4	5.0 × 4.2
	Echoes	Heterogeneous	Heterogeneous	Heterogeneous
	Boundary	Clear	Clear	Clear
	Shape	Irregular	Irregular	Regular
	Blood flow (Adler)	Grade III	Grade I	Grade III
Prenatal management		None	None	At 33 + 0 wk, due to intrauterine fetal death on the affected side, dexamethasone was given to promote lung maturation of the contralateral fetus
GA at delivery (wk + d)		37 + 0	40 + 0	33 + 3
Mode of delivery		Caesarean section	Normal spontaneous vaginal delivery	Caesarean section
Apgar score				/
1 min		9	9
5 min		10	10
10 min		10	10
Postnatal physical examination: Restricted movement of affected limbs		Yes	Yes	/
Postnatal fetal ultrasound findings				/
Size (Compared to the last prenatal ultrasound)		Increase	Unchanged
Repeat ultrasound (growth trend in size in the short-term)		Yes	Yes
Blood flow (Adler)		Grade III	Grade III
Postnatal ultrasound-guided biopsy		Yes	Yes
Other postnatal imaging examinations		X-ray	MRI	/
Postnatal laboratory examination: Coagulation dysfunction		Yes	Yes	/
Postnatal management		Surgery + chemotherapy	Chemotherapy	/
Pathological results		CIF	CH	CH
Follow-up outcome (duration)		No recurrence (12 mo)	No recurrence (24 mo)	Death

GA: Gestational age; G: Gravida; P: Para; MRI: Magnetic resonance imaging; CIF: Congenital infantile fibrosarcoma; CH: Congenital hemangioma.