Can Routine Prenatal Checkups Detect Adrenal Tumors? - Oncology

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Routine prenatal checkups are primarily focused on monitoring the health of the mother and the developing fetus. These checkups typically include blood tests, urine tests, ultrasounds, and other assessments aimed at ensuring a healthy pregnancy. While these examinations are comprehensive, they are not specifically designed to detect adrenal tumors or other non-obstetric conditions.

However, it is possible for a prenatal ultrasound to incidentally reveal abnormalities in the adrenal glands or other organs. If an adrenal tumor, such as an adrenal cortical adenoma or pheochromocytoma, is present, it may be detected during an imaging study if the tumor is large enough or if it causes changes in surrounding structures. In your case, the report indicates that an adrenal tumor was identified, which is a significant finding.

Adrenal tumors can be classified as functional or non-functional. Functional tumors produce hormones that can lead to various symptoms, while non-functional tumors may not cause any noticeable symptoms. The term "急危症" (acute critical condition) in your report suggests that the tumor may have the potential to cause serious health issues, which warrants immediate attention.

If an adrenal tumor is suspected, further evaluation is essential. This may include additional imaging studies such as a CT scan or MRI to assess the tumor's size, characteristics, and any potential effects on surrounding tissues. Blood tests to measure hormone levels, including catecholamines, cortisol, and aldosterone, can also help determine whether the tumor is functional.

In summary, while routine prenatal checkups are not specifically designed to detect adrenal tumors, incidental findings can occur. If a tumor is identified, it is crucial to follow up with a specialist, such as an endocrinologist or a urologist, for further evaluation and management. Early detection and appropriate treatment are vital to prevent complications associated with adrenal tumors, especially if they are functional or potentially malignant.