|Title:||Antenatal diagnosis of congenital hepatoblastoma in utero||Authors:||JIN-CHUNG SHIH
|Issue Date:||2000||Journal Volume:||16||Journal Issue:||1||Start page/Pages:||94-97||Source:||Ultrasound in Obstetrics and Gynecology||Abstract:||
A fetus with a huge hepatic tumor was detected by sonography at 36 weeks of gestation. The mass appeared as a single, solid and polylobular tumor located in the right lobe of the liver. Foci of hemorrhage, necrosis and some tiny calcifications were seen. The adjacent right kidney appeared normal but was displaced. The right adrenal gland was not visualized. Three-dimensional power Doppler sonography further depicted the corresponding vascular anatomy of the tumor, including its vascularization pattern and blood supply. The tumor was situated to the right of the umbilical vein and portal sinus, possibly deriving its blood supply from the portal circulation. The fundamental findings suggested the diagnosis of hepatoblastoma by exclusion of other possibilities. The baby was delivered by Cesarean section at 36 weeks' gestation, due to signs of fetal distress. Unfortunately, hypotension, tachycardia, and tachypnea developed shortly after birth. Surgical intervention was performed, but intractable bleeding occurred intra-operatively. The infant died at 6 days of age. Autopsy confirmed the diagnosis of hepatoblastoma. We believe this is the first reported case of the antenatal diagnosis of congenital hepatoblastoma.
|ISSN:||0960-7692||DOI:||10.1046/j.1469-0705.2000.00168.x||SDG/Keyword:||adult; article; calcification; case report; cesarean section; differential diagnosis; Doppler echography; echography; female; fetus distress; hepatoblastoma; human; portal vein blood flow; prenatal diagnosis; priority journal; Adult; Female; Fetal Diseases; Hepatoblastoma; Humans; Liver Neoplasms; Pregnancy; Ultrasonography, Doppler; Ultrasonography, Prenatal
|Appears in Collections:||醫學系|
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