Adrenal Incidentaloma and Prenatal Diagnosis

Abstract

Introduction: An adrenal incidentaloma is a mass discovered by chance during a procedure. 80 to 85% are unilateral and although the vast majority may be non-functioning benign lesions, some of them may be the expression of a malignant, primary
or metastatic disease.
Objective: To establish the ultrasound diagnostic value of an adrenal incidentaloma.
Case report: The case of a 37-year-old pregnant woman with a 32-week pregnancy is reported. She went to the Provincial Center of Medical Genetics in Havana, Cuba, for a second opinion ultrasound. She had a presumptive diagnosis of neuroblastoma, to assess
pregnancy interruption in an exceptional way, before the prenatal diagnosis. When analyzing the ultrasound findings to confirm her diagnosis, and after a thorough dialogue with the Urology service at the Pediatric Hospital in Centro Habana, the referral diagnosis
was excluded.
Conclusions: The pregnancy to which the parents gave their informed consent was not justified. As a prenatal diagnosis, the presence of an adrenal tumor was considered, possibly an incidentaloma, which will be confirmed in the postnatal stage.