Prenatal diagnosis and treatment strategy for congenital mesoblastic nephroma
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 peri...
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| Veröffentlicht in: | Journal of pediatric surgery 1993-12, Vol.28 (12), p.1607-1609 |
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| container_issue | 12 |
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| container_title | Journal of pediatric surgery |
| container_volume | 28 |
| creator | Matsumura, Mitsuyoshi Nishi, Toshiji Sasaki, Yoshiro Yamada, Ryoji Yamamoto, Hiroshi Ohhama, Yokatsu Tanaka, Yukichi Kurosu, Fujio Amano, Kan |
| description | 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. |
| doi_str_mv | 10.1016/0022-3468(93)90115-2 |
| format | Article |
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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.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/0022-3468(93)90115-2</identifier><identifier>PMID: 8301508</identifier><identifier>CODEN: JPDSA3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Cesarean Section ; Diseases of mother, fetus and pregnancy ; Female ; Fetal Diseases - diagnosis ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Kidney Neoplasms - congenital ; Kidney Neoplasms - diagnosis ; Kidney Neoplasms - surgery ; Male ; Medical sciences ; Nephrectomy ; Nephroma, Mesoblastic - congenital ; Nephroma, Mesoblastic - diagnosis ; Nephroma, Mesoblastic - surgery ; Pregnancy ; Pregnancy. Fetus. 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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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cesarean Section</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Female</subject><subject>Fetal Diseases - diagnosis</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Kidney Neoplasms - congenital</subject><subject>Kidney Neoplasms - diagnosis</subject><subject>Kidney Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrectomy</subject><subject>Nephroma, Mesoblastic - congenital</subject><subject>Nephroma, Mesoblastic - diagnosis</subject><subject>Nephroma, Mesoblastic - surgery</subject><subject>Pregnancy</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prenatal Diagnosis</subject><subject>Rupture, Spontaneous</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVpSDdJ_0ELPpSSHNzow7LlSyCEJA1saQ7pWcyOxlsVW9pK2kL-fb3dZY89Dcw878vwMPZB8C-Ci_aacylr1bTmsldXPRdC1_INWwitRK256t6yxRF5x85y_sX5vObilJ0axYXmZsG-PScKUGCsnId1iNnnCoKrSiIoE4VS5ZKg0Pq1GmKqMIY1Bb_jJ8pxNUIuHqtAm58pTnDBTgYYM70_zHP24-H-5e5rvfz--HR3u6xRmbbUcsC2IdSiF1xBBwZXjeylW0mtDfIOnTIcDRjnNHUooBdqaJQC07StM0qds8_73k2Kv7eUi518RhpHCBS32XatFKox3Qw2exBTzDnRYDfJT5BereB2Z9HuFNmdItsr-8-ilXPs46F_u5rIHUMHbfP90-EOGWEcEgT0-Ygpo00n2xm72WM0u_jjKdmMngKS84mwWBf9___4CwiwjgY</recordid><startdate>19931201</startdate><enddate>19931201</enddate><creator>Matsumura, Mitsuyoshi</creator><creator>Nishi, Toshiji</creator><creator>Sasaki, Yoshiro</creator><creator>Yamada, Ryoji</creator><creator>Yamamoto, Hiroshi</creator><creator>Ohhama, Yokatsu</creator><creator>Tanaka, Yukichi</creator><creator>Kurosu, Fujio</creator><creator>Amano, Kan</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19931201</creationdate><title>Prenatal diagnosis and treatment strategy for congenital mesoblastic nephroma</title><author>Matsumura, Mitsuyoshi ; Nishi, Toshiji ; Sasaki, Yoshiro ; Yamada, Ryoji ; Yamamoto, Hiroshi ; Ohhama, Yokatsu ; Tanaka, Yukichi ; Kurosu, Fujio ; Amano, Kan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-2fc64ec519103a7a8cb4292db2558c07cd380c8a8dd5e7c1a913f433a8466d833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cesarean Section</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>Female</topic><topic>Fetal Diseases - diagnosis</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Kidney Neoplasms - congenital</topic><topic>Kidney Neoplasms - diagnosis</topic><topic>Kidney Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrectomy</topic><topic>Nephroma, Mesoblastic - congenital</topic><topic>Nephroma, Mesoblastic - diagnosis</topic><topic>Nephroma, Mesoblastic - surgery</topic><topic>Pregnancy</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prenatal Diagnosis</topic><topic>Rupture, Spontaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matsumura, Mitsuyoshi</creatorcontrib><creatorcontrib>Nishi, Toshiji</creatorcontrib><creatorcontrib>Sasaki, Yoshiro</creatorcontrib><creatorcontrib>Yamada, Ryoji</creatorcontrib><creatorcontrib>Yamamoto, Hiroshi</creatorcontrib><creatorcontrib>Ohhama, Yokatsu</creatorcontrib><creatorcontrib>Tanaka, Yukichi</creatorcontrib><creatorcontrib>Kurosu, Fujio</creatorcontrib><creatorcontrib>Amano, Kan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matsumura, Mitsuyoshi</au><au>Nishi, Toshiji</au><au>Sasaki, Yoshiro</au><au>Yamada, Ryoji</au><au>Yamamoto, Hiroshi</au><au>Ohhama, Yokatsu</au><au>Tanaka, Yukichi</au><au>Kurosu, Fujio</au><au>Amano, Kan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal diagnosis and treatment strategy for congenital mesoblastic nephroma</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1993-12-01</date><risdate>1993</risdate><volume>28</volume><issue>12</issue><spage>1607</spage><epage>1609</epage><pages>1607-1609</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>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.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>8301508</pmid><doi>10.1016/0022-3468(93)90115-2</doi><tpages>3</tpages></addata></record> |
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| subjects | Adult Biological and medical sciences Cesarean Section Diseases of mother, fetus and pregnancy Female Fetal Diseases - diagnosis Gynecology. Andrology. Obstetrics Humans Infant, Newborn Kidney Neoplasms - congenital Kidney Neoplasms - diagnosis Kidney Neoplasms - surgery Male Medical sciences Nephrectomy Nephroma, Mesoblastic - congenital Nephroma, Mesoblastic - diagnosis Nephroma, Mesoblastic - surgery Pregnancy Pregnancy. Fetus. Placenta Prenatal Diagnosis Rupture, Spontaneous |
| title | Prenatal diagnosis and treatment strategy for congenital mesoblastic nephroma |
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