Torricelli M, Canazza L, Cerri M, Leva E, Lista G L, Maestri L, Viglio C
Unità Operativa di Chirurgia Pediatrica, Istituti Clinici di Perfezionamento, Ospedale dei Bambini V. Buzzi, Milano.
Pediatr Med Chir. 2003 Sep-Oct;25(5):383-6.
The case of a left adrenal mass detected by ultrasonography in a male fetus at the 37th week of gestation is presented. After an uneventful delivery at the 38th gw, the newborn was sonographically monitored, and during the follow-up clinical evaluations were performed, in order to make a differential diagnosis between an adrenal hemorrhage and a congenital neuroblastoma. VMA and HVA were within normal levels, and MIGB scan was negative. A MNR of the the abdomen performed at the age of one month was suggestive for an adrenal hemorrhage in involution. We therefore decided to keep monitoring the mass by ultrasound, avoiding any surgical approach. The sonographic complete disappearance of the disease was documented at the end of the fourth month.
本文报告了一例妊娠37周男性胎儿经超声检查发现左肾上腺肿块的病例。孕38周时顺利分娩，对新生儿进行了超声监测，并在随访期间进行了临床评估，以鉴别肾上腺出血和先天性神经母细胞瘤。香草扁桃酸（VMA）和高香草酸（HVA）水平正常，间碘苄胍（MIGB）扫描为阴性。患儿1个月时进行的腹部磁共振成像（MNR）提示肾上腺出血正在吸收。因此，我们决定通过超声继续监测肿块，避免任何手术干预。在第四个月末记录到该疾病在超声下完全消失。
