Filimonovic D, Gojnic M, Arsenijevic Lj, Popovic N, Dugalic V
University Hospital 'Narodni Front', Belgrade, Serbia and Montenegro.
Eur J Gynaecol Oncol. 2007;28(1):57-9.
We examined a young primipara with increased alpha-fetoprotein (AFP) values and cystic tumefaction of the right ovary. Having in mind a mild decrease in ovarian artery resistance index (RI) and suspected findings of fetal kidney, this situation was delicate due to its double pathology which was later confirmed. Wilms' tumor is the most common urogenital tumor in childhood, and it is detectable in the prenatal period by ultrasound examination. In utero kidney biopsy confirms diagnosis and facilitates decisions concerning the course of pregnancy. Relative risk of intervention limits this diagnostic procedure for indicated cases.
我们检查了一位年轻初产妇，其甲胎蛋白（AFP）值升高且右卵巢出现囊性肿大。考虑到卵巢动脉阻力指数（RI）略有下降以及怀疑有胎儿肾脏异常的情况，由于存在双重病理改变（后来得到证实），这种情况较为棘手。肾母细胞瘤是儿童期最常见的泌尿生殖系统肿瘤，产前可通过超声检查发现。宫内肾活检可确诊并有助于做出关于妊娠进程的决策。干预的相对风险限制了这种诊断方法仅用于特定病例。
