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• W2022606311 abstract "Clinical informationA 35-year-old woman, gravida 3, para 3, at 33 1/7 weeks ofgestation was referred to the obstetric clinic for prenatalassessment of an echogenic mass of the umbilical corddetected during a routine ultrasound examination. Chori-onic villus biopsy for advanced maternal age at 13-weekgestation revealed a normal 46 XX karyotype. Sonographicassessment of the fetus demonstrated growth parametersappropriate for the gestational age. The abdominal wall wasclosed, with an inhomogeneous mass measuring 43×32×28 mm near the insertion of the umbilical cord (Fig. 1). Thecardiotocogram showed no fetal distress. Doppler flowstudies of the umbilical cord showed three vessels,displaced by a multilobulated echogenic tumor. Maternalserum screening showed an elevated level of alpha-fetoprotein (326 μg/l), but no signs of congenital infection.At 38 5/7 weeks of gestation, a girl was deliveredvaginally, weighing 2,840 g (10th–25th centile), with alength of 47 cm (10th–25th centile) and head circumfer-ence of 33 cm (10th–25th centile). She adapted with Apgarscores of 8/9/9, and the arterial cord pH was 7.31. Theumbilical cord showed a nodular bulge proximal to itsinsertion into the abdominal wall. It measured 4 cm indiameter, had a smooth, translucent, pearly colored surface,without superficial vessels or pulsations, and was of firm,elastic consistency. A blue core was discernible within(Fig. 2). The findings were associated with markedthickening and edema of the Wharton’s jelly, and one veinand two arteries were present within the cord. A 1-cmsegment of normal umbilical cord separated the tumor fromthe intact abdominal wall. Abdominal ultrasound examina-tion showed no visceral abnormalities. The umbilical cordwas clamped distal to the lesion, and the infant recovered ina puerperal care unit. The macro- and microscopic placentaexamination (387 g, 19×15×3 cm) revealed no abnormal-ities. At 2 days of age, the infant was transferred to apediatric surgery unit for surgical revision." @default.
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• W2022606311 date "2006-11-17" @default.
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• W2022606311 title "Your diagnosis? Umbilical cord tumor" @default.
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• W2022606311 doi "https://doi.org/10.1007/s00431-006-0301-2" @default.
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