- Hygroma children - whether to panic?
- Cystic
Cystic hygroma in fetuses and newborns
Cystic hygroma child may be formed on virtually any part of the body, but in 75% of cases hygroma appear on the neck and head, more often - the left side. Approximately 20% of cystic hygromas formed in the armpits, and much less, they appear in the mediastinum, the groin, the retroperitoneal space, and other fields.
Scientists believe that cystic hygroma formed in utero by a combination of factors such as the inability of the lymphatic system in certain areas to connect to the venous system and certain abnormalities in lymphatic tissues. Consequence is the formation of cavities in which fluid accumulates. In some cases, such hygroma may be acquired, for example, due to injury, surgery, inflammation or obstruction of the lymphatic channels.
How common
Cystic hygroma occurs in newborns 6000-16000. According to various estimates, in 2-6% of cases this leads to swelling of the child's death, most often due to associated pneumonia and / or airway obstruction. The greatest risk associated with large-sized tumors. In addition, the detection hygroma in utero may be recommended abortion.
In most cases (50-65%), cystic hygroma detected immediately after birth or before. 80-90% hygromas detected in the age of two, and only a small part of them - have older children. As a rule, a cystic hygroma can be detected by abdominal ultrasound (US) is already at the tenth week of pregnancy. To get a clearer picture of the tumor and accurately assess its size, it can be used with magnetic resonance imaging.
Symptoms
The surface of the skin above the cystic hygroma in the newborn may have a bluish tint, although it often looks perfectly normal. Such hygroma can dramatically increase in size, for example, after infection, and the likelihood that they will disappear without medical assistance, is extremely small.
Symptoms hygroma in the neck in young children may be sleep apnea
Stop breathing (apnea) during sleep - upper airway obstruction
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, Unusual noises when breathing, shortness of breath. Often, problems with feeding, because of what the child can gain weight too slow.
In 25-70% of children with cystic hygroma meet different chromosomal disease. Experts point out that among the kids who have these benign tumors are more common Turner's syndrome, Down's syndrome, Klinefelter's syndrome and trisomy of chromosome 18 and 13 (Edwards syndrome and Patau syndrome, respectively). However, these hereditary disease apparently are not direct causes of the formation hygroma.
Dangers
Drinking alcohol during pregnancy is associated with the formation of cystic hygromas the fetus, as well as an increased risk of certain congenital disorders. An important role is also played by heredity parents and their way of life, in general.
Very often the fruit, which has found cystic hygroma, dies before the third trimester of pregnancy or abortion is carried out because of the high risk of having a baby with a variety of developmental disabilities. Infants who were born with a hygroma, in most cases require surgery.
Treatment
Sometimes, it may be used with medication, such drugs as picibanil (OK-432), bleomycin, interferon alpha-2a, and others. UC-432 - is a sclerosing agent, which can lead to fibrosis cystic hygroma. Since the injection of the drug make a puncture hygroma, some experts believe that the therapeutic effect is achieved mainly by removing the contents of the tumor. Bleomycin is used rarely - it is due to its high toxicity and the availability of safer drugs. Nevertheless, in some cases the use of this drug may be acceptable.
Sometimes, for the treatment of cystic hygromas injections of ethanol - it also has an effect on the sclerosing tissue forming hygroma. Such treatment does not always give the expected results, but at least it is relatively safe.
Interferon alpha-2a are often recommended for use in Cystic Hygroma, even though its effectiveness has not been proven, and it can cause serious side effects, among them - lack of appetite, fever, tremor, inflammation of the liver, a reduced level of white blood cells in the blood, decrease in platelets
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Complications of cystic hygroma in newborns may include: airway obstruction, internal bleeding, infections, deformities of adjacent teeth or bone structures. After removal hygroma surgically likelihood of recurrence is very low. If it happens, most often in the first year after surgery.
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