Differentialdiagnosis of neonatal adrenal haemorrhage and congenital neuroblastoma by colour coded Doppler sonography and power Doppler sonography

Deeg, Karl‐Heinz; Bettendorf, U; Hofmann, Veit Maria

doi:10.1007/s004310050814

Cited by 36 publications

(29 citation statements)

References 15 publications

(13 reference statements)

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“…In contrast to the peripheral rim-like calcifications and rim-like Doppler pattern of adrenal haemorrhage, neuroblastoma often shows a network of microscopic vessels with characteristic high-velocity Doppler shifts inside the tumour and stippled calcifications [7] . It has been suggested that many of the neonatal cases of neuroblastoma can regress spontaneously.…”

Section: Discussionmentioning

confidence: 99%

“…One possible explanation is the compression of the adrenal gland between the liver and spine and direct drainage of the right adrenal vein into the inferior vena cava inducing higher venous pressure changes compared to the left side where the adrenal vein connects to the renal vein [6] . The adrenal glands are particularly vulnerable to haemorrhage because of their size (about 20 times the relative size in the adult) and high vascularity with supply from the inferior phrenic artery, abdominal aorta and renal artery [7] .…”

Section: Discussionmentioning

confidence: 99%

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Fetal Adrenal Haemorrhage – Two-Dimensional and Three-Dimensional Imaging

et al. 2007

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A case of prenatal adrenal haemorrhage first detected by 2-dimensional and 3-dimensional sonography at 27 weeks’ gestation is reported. Ultrasound examination showed a large cystic mass (32 × 27 × 27 mm) in the right suprarenal region of the fetus. Two weeks later, the mass had slightly increased in size demonstrating hyperechoic areas within the cyst. Further serial ultrasound examinations revealed a progressive organisation of the cystic mass associated with a moderate reduction in size. The diagnosis of adrenal haemorrhage was confirmed by postnatal follow-up sonograms as the mass decreased in size from 28 × 21 × 21 mm on day 1 to 23 × 18 × 17 mm on day 42. Course and sonographic signs were typical for adrenal haemorrhage and the neonate was therefore managed without surgical exploration. The child is developing normally at 6 months of age.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Fetal Adrenal Haemorrhage – Two-Dimensional and Three-Dimensional Imaging

et al. 2007

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“…As previously reported, postnatal ultrasonography examination was fundamental for diagnosis. Deeg et al described the main features that have to be taken into account, namely, the size of the mass, the presence of calcification, echogenicity (cystic, solid or heterogeneous), shape (round or triangular) and the characteristics of the connection with the adrenal gland and the kidney 7 . In our series, as in the literature, the solid nature of the tumor after birth (13 LRNBs among 17 solid tumors) and increasing size (6 LRNBs among seven growing tumors) favored the diagnosis of LRNB.…”

Section: Discussionmentioning

confidence: 99%

“…10 The absence of a large aberrant vessel does not rule out, however, the diagnosis of pulmonary sequestration, and color Doppler imaging cannot clearly distinguish between adrenal hemorrhage and hemorrhage occurring within a cystic NB. 7,[11][12][13][14] Computed tomography and MRI are highly contributory to the diagnosis of suprarenal masses when they show a systemic vessel of a sequestration. 10 Magnetic resonance imaging may show two different intensities within the mass, with debris-fluid levels suggesting intracystic hemorrhage, but again it is unable to distinguish between adrenal hemorrhage and hemorrhage occurring within a cystic LRNB.…”

Section: Discussionmentioning

confidence: 99%

Outcome of suprarenal localized masses diagnosed during the perinatal period

Sauvat

Sarnacki

Brisse

et al. 2002

Cancer

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BACKGROUNDThe growing use of abdominal ultrasonography during pregnancy and in the postnatal period is leading to the discovery of an increasing number of suprarenal masses. The optimal diagnosis and treatment of these masses has not yet been determined.METHODSThe authors reviewed the files of patients with suprarenal masses detected prenatally or during the first 3 months of life, between 1986 and 1999, in the pediatric surgery and oncology departments of Paris hospitals.RESULTSThirty masses were detected prenatally and 23 postnatally. In the latter group of patients, the diagnosis was based on ultrasound in 8 cases and on the palpation of a mass in 15 cases, 13 of which were neuroblastoma. At birth, the masses were cystic in 19 cases, solid in 17, and mixed in 13. Sensitivities of methyliodobenzylguanidine and urinary catecholamine assay were 70% and 52% respectively. Surgery was performed in 38 cases with a median age of 42 days. Histologic analysis showed 31 neuroblastomas, 1 adrenal hemorrhage, 2 necrotic masses, 1 bronchogenic cyst, and 3 sequestrations. All the patients were alive and disease free, at a follow‐up ranging from 3 months to 13 years.CONCLUSIONSIn this series, 58% of the suprarenal masses diagnosed perinatally were localized neuroblastoma with a favorable outcome. All other cases either regressed spontaneously or turned out to be benign lesion. Thus, the management of these masses must strike a compromise between aggressive treatment and a wait‐and‐see attitude. This requires appropriate initial assessment and a close follow‐up in a specialized center. Cancer 2002;94:2474–80. © 2002 American Cancer Society.DOI 10.1002/cncr.10502

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“…the size of the mass, presence of calcification, echogenicity (cystic, solid or heterogenous), shape (round or triangular) and the characteristics of the connection with adrenal gland and the kidney. 6 Our patient had a suprarenal cystic tumor without any evidence of calcification.…”

Section: Discussionmentioning

confidence: 66%

Antenatally Diagnosed Suprarenal Cystic Teratoma

Agarwala¹,

Jana²,

Singh³

et al. 2015

World Journal of Endocrine Surgery

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A two months old female child presented to us with an antenatal diagnosis of left suprarenal mass. Laparotomy revealed a large cystic mass in the left suprarenal location which was completely excised. The histological diagnosis was a mature, cystic teratoma. Although, the diagnosis of adrenal teratoma is rare, it should be considered in the differential diagnosis of antenatally diagnosed suprarenal lesions.

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Differentialdiagnosis of neonatal adrenal haemorrhage and congenital neuroblastoma by colour coded Doppler sonography and power Doppler sonography

Abstract: Conventional colour coded Doppler sonography and power Doppler sonography are useful to differentiate between neuroblastoma and adrenal haemorrhage.

Cited by 36 publications

References 15 publications

Fetal Adrenal Haemorrhage – Two-Dimensional and Three-Dimensional Imaging

Fetal Adrenal Haemorrhage – Two-Dimensional and Three-Dimensional Imaging

Outcome of suprarenal localized masses diagnosed during the perinatal period

Antenatally Diagnosed Suprarenal Cystic Teratoma

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