Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
196 Doctors are Online

18 weeks pregnant with twins, 1 had a unilateral choroid plexus cyst, trisomy 18 triple marker test, a scan advised done - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 591 Questions
Doctor :   hi
Doctor :   Good morning.
Doctor :   How can I help you?
User :   hi
User :   I am 18 weeks pregnant with twin pregnancy
Doctor :   Ok
User :   i had my 3d/4d anamoly scan done yesterday
Doctor :   Ok
User :   i had a few queries regarding my report
Doctor :   Proceed with your query?
User :   1 of the fetus had a unilateral choroid plexus cyst...measuring 0.7*0.8 mm
User :   in the brain
Doctor :   Ok
User :   what does this mean?
Doctor :   Let me explain.
Doctor :   Brain contains few spaces which are termed as ventricles.
User :   ok...
User :   ??
Doctor :   At certain locations of these ventricles, the layer of cells
Doctor :   is described as choroid plexus.
User : there something to worry
Doctor :   According to the reports mentioned, there is a developmental problem on this cells, leading to cyst formations.
User :   ok...
Doctor :   Often, such problems are associated with genetic abnormalities.
Doctor :   Hence you may need further evaluation.
User :   like...
User :   ok
Doctor :   It is a concerning problem.
User :   is it true that by the 2nd/3rd trimester these cysts usuaaly go away
Doctor :   Without ruling out genetic abnormalities, the seriousness of the problem is not defined clearly.
User :   ok
Doctor :   If the cyst are single and no associated genetic defects are present, then cyst may remain benign.
User :   ok...i have a follow up scan after 4 -5 weeks...
User :   is it to detect if any other abnormality is developed?
User :   what are the kind of genetic defects?
Doctor :   The follow up scan will check for the progress of the cyst, new cysts developing and look for other fetal defects also.
User :   ok... if none of the above is there...then nothing much to woory?
User :   or ...
Doctor :   Choroid plexus cyst is known to be associated with downs syndrome and other genetic defects.
User :   do they suggest a termination of the fetus?
User :   ok...i did my trisnomy 18 triple marker test..that is fine says my dr.
Doctor :   Trisomy 18 is the most common genetic defect associated with this condition.
Doctor :   If this has been ruled out by triple tests, then wait till the next scan.
Doctor :   If the scan are further suspicious, your doctor may order for amniocentesis for genetic analysis.
Doctor :   If a genetic study is abnormal, then termination would be better option of treatment.
Doctor :   So wait til your next scan, thing would be much clearer with those scans.
Doctor :   Do you follow?
User :   yes
Doctor :   Do you have any other query?
User :   also, what does - minimal further of the pelvicalyceal system....mean?
Doctor :   Pelvicalyceal system is part renal organ.
User :   kidney, right?
Doctor :   The urine collecting system of the kidney is sometimes referred to (on radiological diagnosis) as pelvicalyceal system.
User :   the report 1 fetus (the other one) the kidneys show minimal further of the pelvicalyceal system measuring 2-3 mm each which is of no clinical significance
Doctor :   Due you mean minimal fullness?
User :   yes
Doctor :   Fullness in the pelvicalyceal system often indicates that there could be an obstructive lesion which most often resolve on its own.
Doctor :   So not a worry at this point.
User :   ok...
User :   thanks!!!
Doctor :   Minimal fullness as mentioned in the scan is of little clinical significance now.
Doctor :   Do you have any other query?
User :   yes
User :   termination of twin fetus is safe till which week?
User :   selective termination of twin fetus is safe till which week?
Doctor :   Termination of pregnancy can considered till 24 weeks of pregnancy.
User :   after that is it not done?
Doctor :   However according to the law of this land, abortion after 12 weeks can be done only if there is a genetic defect proved.
Doctor :   Since you have crossed 12 weeks, you can discuss with your gynecologist over the course of next few weeks
Doctor :   of the possibility of genetic defect.
Doctor :   If found, you may opt termination of pregnancy.
User :   ok
Doctor :   Do you have any other query?
User :   no
User :   thanks a lot
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
Question is related to
Medical Procedures
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor