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Revista Cubana de Obstetricia y Ginecología

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2022, Number 3

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Revista Cubana de Obstetricia y Ginecología 2022; 48 (3)

Adrenal incidentaloma and prenatal diagnosis

Vázquez MYE, Fajardo PY, Bravo RM, Lemus VMT
Full text How to cite this article

Language: Spanish
References: 8
Page:
PDF size: 390.24 Kb.


Key words:

incidentaloma, adrenal, neuroblastoma.

ABSTRACT

Introduction: An adrenal incidentaloma is a mass discovered by chance during a procedure. 80 to 85% are unilateral and although the vast majority may be nonfunctioning benign lesions, some of them may be the expression of a malignant, primary or metastatic disease.
Objective: To establish the ultrasound diagnostic value of an adrenal incidentaloma.
Case report: The case of a 37-year-old pregnant woman with a 32-week pregnancy is reported. She went to the Provincial Center of Medical Genetics in Havana, Cuba, for a second opinion ultrasound. She had a presumptive diagnosis of neuroblastoma, to assess pregnancy interruption in an exceptional way, before the prenatal diagnosis. When analyzing the ultrasound findings to confirm her diagnosis, and after a thorough dialogue with the Urology service at the Pediatric Hospital in Centro Habana, the referral diagnosis was excluded.
Conclusions: The pregnancy to which the parents gave their informed consent was not justified. As a prenatal diagnosis, the presence of an adrenal tumor was considered, possibly an incidentaloma, which will be confirmed in the postnatal stage.


REFERENCES

  1. Libé R, Bertherat J. Incidentaloma suprarrenal. EMC-Tratado de Medicina.

  2. 2018;22(4):1-6. DOI: https://doi.org/10.1016/S1636-5410(18)41300-12. Florez MM, Torres GC. Hemorragia suprarrenal fetal: aspectos clave en el diagnósticoecográfico. Revista Medica/Clinica del Country. 2016 [acceso 25/10/2021];(1)Disponible en: https://www.revistamedicaclcountry.com/posts/hemorragia-suprarrenalfetal.pdf

  3. Gómez RM, et al. Evaluación diagnóstica y terapéutica del incidentaloma suprarrenal.Revista Argentina de Endocrinologia y Metabolismo. 2016 [acceso 01/12/2021];53(2).DOI: https://doi.org/10.1016/j.raem.2015.12.001

  4. Schrauder MG, et al. Fetal adrenal haemorrhage--two-dimensional and threedimensionalimaging Fetal Diagn Ther. 2008;23(1):72-5. DOI:https://doi.org/10.1159/000109230

  5. Nuchtern JG. Perinatal neuroblastoma. Semin Pediatr Surg. 2006;15(1):10-6. DOI:https://doi.org/10.1053/j.sempedsurg.2005.11.003

  6. Florez MM TG. Hemorragia suprarrenal fetal: reporte de un caso. 2016 [acceso01/12/2021]. Disponible en: https://revistamedicaclcountry.com/app/default/filesmodule/local/documents/Hemorragoa-suprarrenal-fetal.pdf

  7. Bermejo R, Palacios A, Saco L, Fernández Ramírez MJ, Díaz C. Diagnóstico prenatalde una tumoración quística suprarrenal: conducta a seguir. Clin. Investig. ginecol. obstet.2008 [acceso 01/12/2021];35(6):231-4. Disponible en: https://www.elsevier.es/esrevista-clinica-e-investigacion-ginecologia-obstetricia-7-articulo-diagnostico-prenataluna-tumoracion-quistica-S0210573X08751116

  8. De Luca JL, Rousseau T, Durand C, Sagot P, Sapin E. Diagnostic and therapeuticdilemma with large prenatally detected cystic adrenal masse. Fetal Diagn Ther.2002;17(1):11-6. DOI: https://doi.org/10.1159/000047998




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Revista Cubana de Obstetricia y Ginecología. 2022;48