Prenatal Assessment of Atypical Adrenal Glands

Abstract

The aim of this study was to identify specific unusual prenatal ultrasound (US) patterns of the adrenal gland and to propose a systematic approach for diagnosis. Six fetuses with unusual aspects of one or both adrenal glands, detected during routine prenatal US screening, were evaluated. Prenatal and postnatal management are described. A checklist of US features was created to perform a detailed analysis of adrenal lesions and guide prenatal management; this includes the time of appearance, location, growth, vascularization, structure, and presence of findings suggestive of malignancy.

The Clinical Value of Prenatal Ultrasonography in the Differential Diagnosis of Fetal Suprarenal Space-Occupying Lesions

“…Lesieur et al proposed a diagnostic orientation of an atypical suprarenal entity according to its location and appearance. 3 A combination of MRI and ultrasound graph would be helpful for diagnosis of suprarenal entity. 6 , 10 …”

“…1 With the popularization of ultrasonography and improvements in imaging techniques over the past two decades, most space-occupying lesions in the suprarenal region can be detected prenatally. 2 , 3 However, the treatment methods and prognoses are varied due to differences in characteristics of diverse types of lesions. 4 Besides, most studies have been case reports or small sample case series.…”