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Re: Informal Case: Nuchal Translucency versus Cystic Hygroma From: James Smeltzer (James.Smeltzer@wellstar.org) Wed Nov 3 13:09:49 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Allen Worrall: "Re: Techa lutein cysts" Previous message: Tuncay Özgün: "Techa lutein cysts" Y'all: I do not believe these data. In our own practice, the risk for hydrops, preterm, cardiac or chromosomal anomalies is over 40 percent when the NT is this thick, although we have plenty of healthy liveborns after these findings. Saw two last month, one with 4mm and one with 6mm. Reinders, Paulker & Benacerraf J Ultrasound Med. 1997 Feb;16(2):101-5) had a similar experience. Using a standard 3mm cut-off and nuchal lucency as the ONLY finding on us, 27 of 41, or 2/3, had a normal outcome (tho 12% were karyotypically abnormal). It does distress me that 3 of 44 aborted without any further investigation. It would lead me to suspect that they have measured the fetal - amnion distance. Jim Smeltzer -- James S. Smeltzer, MD, FACOG, SMFM Consultant, Maternal Fetal Medicine Wellstar Physicians' Group Northwest Women's Care 787 Campbell Hill St Marietta GA 30060 James.Smeltzer@wellstar.org VM 678-290-3035 Off 770-528-0260 Page 404-318-3451 >>> evsono@pipeline.com 11/2/2004 10:01:23 AM >>> 80% of cases with NT between 4.5 - 6.4 mm result in HEALTHY Liveborn Infants. Souka et al. Ultrasound in Obstetrics and Gynecology 1998;11: 391-400. art At Mon, 1 Nov 2004, Johanna wrote: > >We had a similar case where the nuchal was 6.4mm. The baby was born at term >having no signs of any abnormality. Don't these anatenatal findings just >cause unnecessary anxiety to the parents and professionals involved? >Johanna. UK -- art fougner, md ich bin ein New Yorker >>>>>>>>>>>>> Confidentiality Disclaimer <<<<<<<<<<<<<<<< This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of WellStar Health System, Inc. ("WellStar") and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. Thank you. ================================================================ Next message: Allen Worrall: "Re: Techa lutein cysts" Previous message: Tuncay Özgün: "Techa lutein cysts"

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