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A 29-year-old pregnant woman was transferred to this hospital at 38 weeks 4 days of gestation because of a large mass that had been detected in the fetal oral cavity by ultrasonography.
The patient was a primigravida and had received routine prenatal care at another facility, including ABO blood typing (type O, Rh-negative, antibody-negative), an oral glucose-tolerance test (abnormal results), and a screening test for group B streptococcus (positive); screening tests for syphilis and viral hepatitis, types B and C, were negative. Gestational diabetes was controlled by diet, and Rho(D) immune globulin had been administered at 28 weeks of
Differential Diagnosis
Obstetrical Considerations
Maternal Anesthesia
Anesthesia of the Infant
The EXIT Procedure
Excision of the Cyst
Clinical Diagnosis
Pathological Discussion
Follow-up
Anatomical Diagnosis
Source Information
From the Department of Otolaryngology, Massachusetts Eye and Ear Infirmary (C.J.H.); the Departments of Maternal and Fetal Medicine (W.H.B.), Anesthesia and Critical Care (C.J.C., M.A.A.), Radiology (P.E.G.), and Pathology (J.T.G.), Massachusetts General Hospital; and the Departments of Otolaryngology (C.J.H.), Obstetrics, Gynecology, and Reproductive Biology (W.H.B.), Anesthesia and Critical Care (C.J.C., M.A.A.), Radiology (P.E.G.), and Pathology (J.T.G.), Harvard Medical School — all in Boston.
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