Fetal neuroblastoma: ultrasonography and magnetic resonance imaging findings in the prenatal and postnatal IV-S stage.
10.5468/ogs.2016.59.5.407
- Author:
Heron WERNER
1
;
Pedro DALTRO
;
Taisa DAVAUS
;
Edward ARAUJO JÚNIOR
Author Information
1. Department of Radiology, Clínica de Diagnóstico por Imagem (CDPI), Rio de Janeiro, Brazil.
- Publication Type:Case Report
- Keywords:
Fetus;
Magnetic resonance imaging;
Neuroblastoma;
Prenatal diagnosis;
Ultrasonography
- MeSH:
Adrenal Glands;
Cesarean Section;
Diagnosis;
Female;
Fetus;
Follow-Up Studies;
Hepatomegaly;
Humans;
Infant;
Infant, Newborn;
Kidney;
Liver;
Magnetic Resonance Imaging*;
Male;
Neoplasm Metastasis;
Neuroblastoma*;
Physical Examination;
Pregnancy;
Pregnancy Trimester, Third;
Prenatal Diagnosis;
Ultrasonography*
- From:Obstetrics & Gynecology Science
2016;59(5):407-410
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of a fetus with an ultrasonography diagnosis of a neuroblastoma during a routine third trimester fetal scan, which presented as a hyperechogenic nodule located above the right kidney. No other abnormalities were found in the ultrasonography scan; however, the follow-up ultrasonography during the 36th week of gestation revealed that the lesion had doubled in size. At the same time, magnetic resonance imaging demonstrated a round mass in the topography of the right adrenal gland with a low signal on T1-weighted images and slightly high signal on T2-weighted images, causing a slight inferior displacement of the kidney. The liver had enlarged and had heterogeneous signal intensity, predominantly hypointense on T2-weighted sequences. Based on these findings, a diagnosis of congenital adrenal neuroblastoma with liver metastases was suggested. A newborn male was delivered by cesarean section 2 weeks later. The physical examination of the neonate revealed abdominal distention and hepatomegaly. The infant had a clinical follow-up in which no surgical or medical intervention was required. At 5 months of age, the infant was asymptomatic with a normal physical examination.
