Araujo Júnior Edward, Sanchez Ayub Elizabeth, Costa Santos Elson Mário, Moraes Dirceu Junior, Rodrigues Pires Cláudio, Filho Sebastião Marques Zanforlin
Centro de Entrenamiento en Ultrasonografía de Sao Paulo, Brasil.
Ginecol Obstet Mex. 2005 Aug;73(8):451-5.
Neuroblastoma is the most frequent solid malignant tumor in the neonatal period; however, its diagnosis is very difficult in the prenatal one. This kind of tumor has a high morbidity and mortality rate due to the metastatic risk. Its prognosis depends on the affected area, on the extension of the tumor, and on the associated abnormalities. The antenatal ultrasound diagnosis is possible by finding a mixed mass in the adrenal gland. We report a case of a bilateral adrenal neuroblastoma diagnosed by antenatal ultrasonography at the 29th week of gestation. We describe the principal findings and show the contribution of the tridimensional ultrasound on the relationship of the tumor with the nearby structures.
神经母细胞瘤是新生儿期最常见的实体恶性肿瘤;然而,产前诊断非常困难。由于存在转移风险,这种肿瘤的发病率和死亡率很高。其预后取决于受累区域、肿瘤的范围以及相关异常情况。产前超声检查通过发现肾上腺的混合性肿块可以做出诊断。我们报告一例在妊娠29周时通过产前超声诊断的双侧肾上腺神经母细胞瘤病例。我们描述了主要发现,并展示了三维超声在显示肿瘤与邻近结构关系方面的作用。