Prenatal diagnosis of fetal adrenal masses: differentiation between hemorrhage and solid tumor by color Doppler sonography

Schwärzler, P.; Bernard, Jean‐Pierre; Sénat, Marie-Victoire; Ville, Y.

doi:10.1046/j.1469-0705.1999.13050351.x

Cited by 43 publications

(34 citation statements)

References 25 publications

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“…Prenatal ultrasound should be able to differentiate abdominal masses from suprarenal masses in most cases. The main differential diagnoses of suprarenal masses are adrenal haemorrhage and neuroblastoma [1] . Suprarenal masses, however, may also be due to extralobular pulmonary sequestration, adrenal abscess, adrenal nodular hyperplasia, adrenal cyst, bronchogenic cyst [2] or rarely adrenal carcinoma [3] .…”

Section: Discussionmentioning

confidence: 99%

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%

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

et al. 2007

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“…The differential diagnoses of fetal adrenal mass include adrenal hemorrhage, neuroblastoma, adrenal and cortical renal cysts, duplication of the renoureteral system, Beckwith-Wiedemann syndrome, and adrenal carcinoma and some of them (hemorrhage or neuroblastoma) can also be diagnosed prenatally by Doppler ultrasonagraphy [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Neuroblastoma Presented with Polyhydramniosis

Küpeli

Guliyev

Varan

et al. 2010

Pediatric Hematology and Oncology

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Neuroblastoma is the most common extracranial solid tumor in pediatric age group. Clinical presentation of neuroblastoma is mostly related to origin of the tumor, extent of disease, and the presence of paraneoplastic syndromes. Here the authors report a neonate with neuroblastoma with an atypical presentation, diagnosed with postnatal abdominal ultrasonography performed due to polyhydramniosis in her mother during pregnancy.

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“…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%