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Metastatic neuroblastoma diagnosed on prenatal sonographic examination performed for decreased fetal movement
Author(s) -
Chapa Hector O.,
Geddie Steven Gywnn,
Flores Rebecca
Publication year - 2017
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22451
Subject(s) - medicine , polyhydramnios , abdomen , fetus , metastasis , gestation , neuroblastoma , ultrasound , fetal movement , lesion , radiology , surgery , obstetrics , pregnancy , cancer , genetics , biology , cell culture
We report a case of fetal neuroblastoma presenting with massive liver metastasis diagnosed during the biophysical profile sonographic examination performed for decreased fetal movement. The patient presented at 37 weeks' gestation with limited fetal movement over 24 hours. Biophysical profile showed marked polyhydramnios and an enlarged abdomen filled with a homogeneous mass lesion suspicious for liver metastasis. Primary urgent cesarean section was performed revealing a cachectic neonate with a rigid and grossly distended abdomen. Neonatal evaluation confirmed the etiology of the abdominal mass to be liver metastasis from neuroblastoma. The child died on the 46th day. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45 :502–506, 2017