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Prenatal diagnosis of fetal adrenal masses: differentiation between hemorrhage and solid tumor by color Doppler sonography
Author(s) -
Schwärzler P.,
Bernard J.P.,
Senat M.V.,
Ville Y.
Publication year - 1999
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1999.13050351.x
Subject(s) - medicine , adrenal hemorrhage , fetus , neuroblastoma , radiology , differential diagnosis , color doppler , prenatal diagnosis , ultrasound , pathology , pregnancy , ultrasonography , surgery , genetics , biology , cell culture
We present four cases of fetal adrenal masses detected by routine prenatal ultrasound, of which three were adrenal hemorrhages and one was a fetal neuroblastoma. The differential diagnoses of fetal adrenal mass include adrenal hemorrhage, neuroblastoma, adrenal and cortical renal cysts, pulmonary sequestrations, duplication of the reno‐ureteral system and Beckwith‐Wiedemann syndrome. These can pose a diagnostic and therapeutic dilemma. A systematic comparison of the pre‐ and postnatal sonographic features including color Doppler imaging may help to differentiate adrenal hemorrhage from neuroblastoma prenatally. Copyright © 1999 International Society of Ultrasound in Obstetrics and Gynecology