RESUMEN
INTRODUCTION: We propose to demonstrate that it is possible to implement a valid (diagnostic sensitivity for major cardiac malformations 90%), and universal (applied to over 90% of pregnant women), prenatal screening method for congenital heart defects. MATERIALS AND METHODS: Prospective study. A total of 12478 pregnant women were evaluated between January 2008 and December 2010. Congenital heart diseases were screened using fetal extended basic echocardiography (cardiac ultrasound). RESULTS: The prevalence of birth defects in general and congenital heart disease was 2.5% (2.2-2.7%) and 0.9% (0.7-1%) respectively. Congenital heart disease had a higher rate of association with other structural abnormalities with 11.5% (5.6-17.4%), 21% for major congenital heart disease (9.9-32%), and chromosomal abnormalities of 15.9% (9.1-22.7%), with 32.6% for major congenital heart disease (19.8-45.3%). A fetal cardiac ultrasound assessment was performed on 99.2% of pregnant women. The fetal echocardiography is useful for the diagnosis of congenital heart disease in general, and major congenital heart disease, with a sensitivity of 42.8% (33.5-52.5%) and 90.4% (78.9-96.8%), respectively, and a specificity for both of 99.9% (99.8-99.9%). CONCLUSIONS: It is possible to perform a valid prenatal and universal screening of major congenital heart disease.
Asunto(s)
Cardiopatías Congénitas/diagnóstico por imagen , Diagnóstico Prenatal , Ultrasonografía Prenatal , Adolescente , Adulto , Ecocardiografía , Femenino , Cardiopatías Congénitas/epidemiología , Humanos , Persona de Mediana Edad , Embarazo , Estudios Prospectivos , Factores de Riesgo , Adulto JovenRESUMEN
The vesical cavernous hemangioma is a rare tumor with a begin biological behaviour. This sort of tumor has particular diagnostic and therapeutical features, and a variety of treatments has been used on it. The case of cavernous hemangioma in the bladder that we present was only diagnosed after RTU due to preoperative diagnosis of urotelial vesical tumor. We review clinical, diagnostic and therapeutical features of this kind of tumor.
Asunto(s)
Hemangioma Cavernoso/diagnóstico , Neoplasias de la Vejiga Urinaria/diagnóstico , Anciano , Femenino , Hemangioma Cavernoso/cirugía , Humanos , Neoplasias de la Vejiga Urinaria/cirugíaRESUMEN
El hemangioma cavernoso vesical es una entidad infrecuente con un comportamiento biológico benigno. Este tipo de tumores tienen aspectos diagnósticos y terapéuticos peculiares, habiéndose empleado diversas modalidades de tratamiento. Presentamos un caso de hemangioma cavernoso vesical que fue sometido a RTU con la sospecha diagnóstica preoperatoria de neoformación vesical urotelial. Realizamos una revisión de los aspectos clínicos, diagnósticos y terapéuticos de este tipo de tumores (AU)