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Prenatal Assessment of Atypical Adrenal Glands: A Systematic Approach for Diagnosis
Emmanuelle Lesieur1, Aurélie Noire2, Paul Maurice3
1Screening and Diagnosis Unit, Department of Obstetrics and Gynecology, St Joseph Hospital, Marseille, France.
Abstract:
The aim of this study was to identify specific unusual prenatal ultrasound (US) patterns of the adrenal gland and to propose a systematic approach for diagnosis. Six fetuses with unusual aspects of one or both adrenal glands, detected during routine prenatal US screening, were evaluated. Prenatal and postnatal management are described. A checklist of US features was created to perform a detailed analysis of adrenal lesions and guide prenatal management; this includes the time of appearance, location, growth, vascularization, structure, and presence of findings suggestive of malignancy.
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