Diagnosis and management of fetal neuroblastoma.
At 36 weeks' gestation, in a 30-year-old patient, routine prenatal ultrasound examination revealed a cystic mass in the left adrenal gland. The pregnancy was uneventful, and at delivery the infant had a palpable left flank mass confirmed by ultrasound and computed tomography scan. There were no metastases. On the second day of life, a 5 cm cystic stage-I neuroblastoma was removed by adrenalectomy. The infant had an uneventful recovery, required no further treatment, and remains free of disease 26 months later.
Crombleholme
T M
TM
Division of Pediatric Surgery, Tufts University School of Medicine, Boston, Massachusetts.
Murray
T A
TA
Harris
B H
BH
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D009447:Neuroblastoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D010173:Palpation; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D016216:Ultrasonography, Prenatal