Deeg K H, Dachert C, Glöckel U, Langer T
Pediatric Clinic of the Hospital of Bamberg, Sozialstiftung Bamberg.
Ultraschall Med. 2007 Jun;28(3):313-20. doi: 10.1055/s-2006-927020. Epub 2007 Jan 29.
We report on three infants with congenital neuroblastoma. Two clinically asymptomatic infants showed a suprarenal right-sided mass, one infant had a mediastinal tumour with tracheal compression causing immediate postnatal dyspnoea. Diagnosis was established by ultrasonography showing hypoechoic tumours without significant calcifications. The two suprarenal masses were characterised by small cystic areas. Colour coded Doppler sonography revealed perfusion of the tumours distinguishing the suprarenal masses from adrenal haemorrhage. The right-sided mediastinal neuroblastoma showed infiltration of the intervertebral foramina and spinal canal without spinal cord compression. All tumours were surgically removed with favourable clinical outcome.
我们报告了3例先天性神经母细胞瘤患儿。2例临床无症状的患儿表现为右侧肾上腺肿块，1例患儿有纵隔肿瘤，压迫气管导致出生后立即出现呼吸困难。通过超声检查发现低回声肿瘤且无明显钙化，从而确诊。2例肾上腺肿块的特征是有小囊性区域。彩色编码多普勒超声显示肿瘤有血流灌注，可将肾上腺肿块与肾上腺出血区分开来。右侧纵隔神经母细胞瘤显示椎间孔和椎管受侵，但未压迫脊髓。所有肿瘤均通过手术切除，临床预后良好。
