Perinatology.  2019 Mar;30(1):27-31. 10.14734/PN.2019.30.1.27.

The Clinical Importance of the Prenatal Diagnosis of Fetal Scalp Hemangioma

• Hwang HS
• Koo JH
• Kim SY
• Kim RY
• Wie JH
• Ko HS
• Park IY
• Shin JC

• KMID: 2443173
• DOI: http://doi.org/10.14734/PN.2019.30.1.27

Abstract

Scalp hemangioma is a rare disease of the extracranial mass in the fetus. Here, we demonstrate a case of fetal scalp hemangioma as evaluated by prenatal ultrasonography and magnetic resonance image (MRI). In this case, a fetal scalp mass measuring 6.3×3.7 cm was found at 32 weeks of gestation by ultrasonography. The possibility of fetal hemangioma was considered through 4D power Doppler ultrasonography and MRI. At 36+6 weeks of gestation, cesarean section was performed in order to avoid possible traumatic injury to the fetal scalp mass. Postnatally, the baby was diagnosed with scalp hemangioma, which was then treated with beta blockers. It is important to diagnose hemangioma in the prenatal stage, because such an early diagnosis can help plan the method and timing of delivery so as to reduce any risk of traumatic damage to the tumor. In addition, it can aid the prognosis and treatment of the neonate.

Keyword

Fetus; Magnetic resonance imaging; Ultrasonography; doppler; Prenatal diagnosis; Hemangioma

MeSH Terms

Cesarean Section
Early Diagnosis
Female
Fetus
Hemangioma*
Humans
Infant, Newborn
Magnetic Resonance Imaging
Methods
Pregnancy
Prenatal Diagnosis*
Prognosis
Rare Diseases
Scalp*
Ultrasonography
Ultrasonography, Doppler
Ultrasonography, Prenatal

Figure

• 

  Fig. 1 Antenatal ultrasonography and MRI of the fetal scalp mass at 32 weeks of gestation. (A) Axial view of the fetal scalp mass with gray-scale ultrasonography. (B) 4D power Doppler image of the fetal scalp mass. (C) 3D ultrasonography of the fetal face. (D) T2-weighted image of fetal MRI, coronal view. MRI, magnetic resonance image.

• 

  Fig. 2 Postnatal MRI and photographs showing the scalp hemangioma. (A, B) Photographs of the scalp hemangioma at the time of delivery. (C) Postnatal T2-weighted axial MRI. (D) Postnatal T1-weighted axial MRI. (E) Postnatal susceptibility-weighted MRI. (F) Photograph of the scalp hemangioma after one week of treatment. MRI, magnetic resonance image.

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