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산전검사상 신경모세포종으로 진단되었던 복막뒤 악성 기형종의 1예

A case of congenital retroperitoneal immature teratoma: Prenatally diagnosed as Neuroblastoma

대한산부인과학회지 2005년 48권 3호 p.766 ~ 771
이정미/Lee JM
김미숙/최윤석/정경재/이영환/김정식/Kim MS/Choi YS/Jung KJ/Lee YH/Kim JS

Abstract


Through a routine antenatal ultrasound examination of 37-year-old woman at 38 weeks’ gestation, a 6 cm-diameter mixed solid and cystic mass was found in the left suprarenal area of her fetus. The following antenatal magnetic resonance image showed a larger cystic mass with a central solid component. The surgical exploration of the mass was performed in 50 days after delivery and by the pathologic examination a grade III immature teratoma was found. The retroperitoneal immature teratomas are extremely rare in childhood. To our Knowledge this is the first reported case about congenital retroperitoneal immature teratoma. The immature teratoma should be included in the differential diagnosis of fetal suprarenal mass and the serum alpha-fetoprotein level should be included in the initial laboratory examination at birth.

키워드

악성 기형종;산전 진단;초음파;복막뒤 공간;신경모세포종;Immature teratoma;Prenatal diagnosis;Ultrasound;Retroperitoneal;Neuroblastoma
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