Document Detail

Suprarenal haematoma versus neuroblastoma complicated by haemorrhage. A diagnostic dilemma in the newborn.
MedLine Citation:
PMID:  3515856     Owner:  NLM     Status:  MEDLINE    
Concomitant neonatal suprarenal haemorrhage and neuroblastoma is rare. The clinical and radiologic manifestations recorded in 11 patients with this entity are compared with the findings in 32 cases with simple adrenal haemorrhage. Because of the many similarities in presentation the combined lesion must always be considered when a neonate is found to have a retroperitoneal, extra-renal mass. Our present approach to the investigation includes conventional chest and abdominal radiography aimed to demonstrate possible paravertebral widening. Serial ultrasonographies are easy to carry out and indispensable. The low specificity of urography makes us refrain from this modality as a routine. Scintigraphy, in infants and children considered useful in demonstrating extent and spread of neuroblastoma, has hardly been employed in neonates. The true value of the modality in this particular age group remains to be settled. CT scanning does not seem to provide essential information additional to that of sonography and may therefore be excluded from the protocol. Determination of urinary excretion of catecholamine metabolites is of crucial significance and a compulsory part of the investigation.
O Eklöf; W Mortensson; B Sandstedt
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta radiologica: diagnosis     Volume:  27     ISSN:  0567-8056     ISO Abbreviation:  Acta Radiol Diagn (Stockh)     Publication Date:    1986 Jan-Feb
Date Detail:
Created Date:  1986-05-12     Completed Date:  1986-05-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370367     Medline TA:  Acta Radiol Diagn (Stockh)     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  3-10     Citation Subset:  IM    
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MeSH Terms
Adrenal Gland Diseases / complications*,  diagnosis,  radiography
Adrenal Gland Neoplasms / complications*,  diagnosis,  radiography,  therapy
Catecholamines / urine
Combined Modality Therapy
Hemorrhage / complications*,  diagnosis,  radiography
Infant, Newborn
Neuroblastoma / complications*,  diagnosis,  radiography,  therapy
Radiography, Abdominal
Tomography, X-Ray Computed
Reg. No./Substance:

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