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CASE REPORT

Fetal Tuberous Sclerosis: Sirolimus for the Treatment of Fetal rhabdomyoma

, , , , &
Pages 800-806 | Received 14 Jun 2021, Accepted 22 Jun 2021, Published online: 19 Jul 2021
 

Abstract

Background:

Sirolimus constitutes a safe and effective treatment for cardiac manifestations of tuberous sclerosis complex (TSC) in children but only four cases describing prenatal treatment of rhabdomyomas with mTOR inhibitors have been published.

Case:

In this case, sirolimus was initiated at 26 weeks´ gestation in a pregnant woman with TSC with a fetus with a large rabdomyoma conditioning severe arrythmia. There was a significant reduction in the tumor size with ongoing treatment and a partial reversion of the arrythmia.

Conclusion:

m-TOR inhibitors can be considered for severe cases of fetal rhabdomyomas with poor prognosis given its potencial benefits.

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