Document Detail

Prenatal diagnosis and treatment strategy for congenital mesoblastic nephroma.
MedLine Citation:
PMID:  8301508     Owner:  NLM     Status:  MEDLINE    
By means of the recent sophisticated technology regarding prenatal diagnosis, congenital mesoblastic nephroma (CMN) has become detectable before birth, or at a younger age than previously. Recently we treated an infant with a huge CMN in whom fetal asphyxia and tumor rupture occurred during the perinatal observation period after prenatal detection. Emergency surgery was required, and the postoperative course was complicated. The treatment strategy of the perinatal care team should focus on (1) reliable maternal transportation (2) continuous monitoring of fetal condition including cardiovascular status, (3) control of polyhydramnios to avoid premature labor, and (4) elective surgery at a stable or stabilized condition. Emergency surgery should be performed when circulatory disturbance, respiratory distress, and/or impending rupture are suspected.
M Matsumura; T Nishi; Y Sasaki; R Yamada; H Yamamoto; Y Ohhama; Y Tanaka; F Kurosu; K Amano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  28     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-03-10     Completed Date:  1994-03-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1607-9     Citation Subset:  IM    
Department of Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
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MeSH Terms
Cesarean Section
Fetal Diseases / diagnosis*
Infant, Newborn
Kidney Neoplasms / congenital*,  diagnosis,  surgery
Nephroma, Mesoblastic / congenital*,  diagnosis,  surgery
Prenatal Diagnosis*
Rupture, Spontaneous

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