Metastatic neuroblastoma diagnosed on prenatal sonographic examination performed for decreased fetal movement.
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.
Department of Obstetrics and Gynecology, Texas A&M College of Medicine, 8447 TX-47, Bryan, TX, 77807.
Hector O
HO
Chapa
Department of Pediatrics, Baylor College of Medicine, 1 Baylor Plaza Houston, TX, 77030.
Steven Gywnn
SG
Geddie
Texas A&M University, Administration Building, 400 Bizzell Street, College Station, TX, 77843.
Rebecca
R
Flores
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000196:embryology / Q000473:pathology*; D000328:Adult; D005260:Female; D005324:Fetal Movement; D006801:Humans; D007231:Infant, Newborn; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000196:embryology / Q000556:secondary*; D009447:Neuroblastoma / Q000000981:diagnostic imaging / Q000196:embryology / Q000473:pathology*; D066087:Perinatal Death; D016216:Ultrasonography, Prenatal / Q000379:methods*; D055815:Young Adult
fetal mass; liver metastasis; neuroblastoma; obstetrics; sonography