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Objective: To evaluate the radiological and clinical fi ndings of congenital cystic neuroblastomas as compared with those of the cystic presentation of neonatal adrenal hemorrhage.

Materials and Methods: We analyzed the US (n = 52), CT (n = 24), and MR (n = 4) images as well as the medical records of 28 patients harboring congenital cystic neuroblastomas (n = 16) and neonatal adrenal hemorrhagic pseudocysts (n = 14). The history of prenatal detection, location, size, presence of outer wall enhancement, internal septations, solid portion, calcifi cation, turbidity, vascular fl ow on a Doppler examination, and evolution patterns were compared in two groups of cystic lesions, by Fischer’s exact test.

Results: All (100%) neuroblastomas and three (21%) of the 14 hemorrhagic pseudocysts were detected prenatally. Both groups of cystic lesions occurred more frequently on the right side; 11 of 16 (69%) for neuroblastomas and 11 of 14 (79%) for hemorrhagic pseudocysts. The size, presence of solid portion, septum, enhancement, and turbidity did not differ signifi cantly (p > 0.05) between the two groups of cystic lesions. However, tiny calcifi cations (n = 3) and vascular fl ow on color Doppler US (n = 3) were noted in only neuroblastomas. The cystic neuroblastomas became complex solid and cystic masses, and did not disappear for up to 90 days in the three following cases, whereas 11 of the 14 (79%) hemorrhagic pseudocysts disappeared completely and the three remaining (27%) evolved to calcifi cations only.

Conclusion: Although the imaging fi ndings of two groups of cystic lesions were similar, prenatal detection, the presence of calcifi cation on initial images, vascularity on color Doppler US, and evolution to a more complex mass may all favor neuroblastomas.

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권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
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참고문헌 (15건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Cystic Lesions of the Gastrointestinal Tract: Multimodality Imaging with Pathologic Correlations 소장
2 Adrenal Hemorrhage in the Newborn with Evidence of Bleeding in Utero 네이버 미소장
3 Prenatally diagnosed neuroblastoma 네이버 미소장
4 Stevens MC. Neonatal tumours. Arch Dis Child 1988;63:1122- 1125 미소장
5 Suprarenal Haematoma versus Neuroblastoma Complicated by Haemorrhage 네이버 미소장
6 Cystic neuroblastoma in infants: radiographic and pathologic features 네이버 미소장
7 Clinical and perinatal sonographic features of congenital adrenal cystic neuroblastoma: a case report with review of the literature 네이버 미소장
8 Cystic neuroblastoma of infancy 네이버 미소장
9 Prenatally detected cystic neuroblastoma. 네이버 미소장
10 Prenatally diagnosed cystic neuroblastoma. 네이버 미소장
11 Prenatal Sonographic Diagnosis of Fetal Adrenal Gland Hemorrhage 네이버 미소장
12 Prenatal Adrenal Hemorrhage Confirmed by Postnatal Surgery 네이버 미소장
13 Spontaneous regression of localized neuroblastoma detected by mass screening. 네이버 미소장
14 Differential diagnosis of neonatal adrenal haemorrhage and congenital neuroblastoma by colour coded Doppler sonography and power Doppler sonography. 네이버 미소장
15 Carlsen NL. How frequent is spontaneous remission of neuroblastomas? Implications for screening. Br J Cancer 1990;61:441-446 미소장