Fetal goiter conservatively monitored during the prenatal pe
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Case report
A 41-year-old secundigravida with normal thyroid function, referred with 34 weeks of gestation after ultrasound exam showed a suspected fetal goiter, which proved to be a solid anterior neck mass with uniform vascularization throughout, particularly in the central region. Three-dimensional ultrasound in rendering mode clearly showed the neck mass. The subsequent ultrasound showed macroglossia and increased cardiac area and amniotic fluid volume. Fetal MRI was conducted and corroborated the diagnosis of goiter. Cordocentesis was recommended to assess thyroid function and fetal karyotype because of the maternal age and macroglossia, but the parents opted not to perform the invasive procedure. We then opted for conservative management with strict ultrasound monitoring because the findings suggested fetal goiter associated with hyperthyroidism . The ultrasound monitoring showed modest increase in the size of neck mass, always the vascularization was evident throughout the mass, mainly in the central zone. The cardiothoracic ratio was slightly elevated, ranging from 0.61 to 0.55....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4742477/
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