Prenatal diagnosis of fetal leukemia
DOI:
https://doi.org/10.18041/2390-0512/biociencias.2.7356Keywords:
Fetal leukemia, Fetal death, Neonatal death, NeoplasmAbstract
Leukemia is the type of cancer that has its origin in the bone marrow, this entity is very common in the pediatric population and in adults, but its presentation in the fetal stage is extremely rare, its prevalence according to recently published papers is from 1 to 5 per million live births. Given this rarity and complexity, its diagnosis is complicated, since it shares clinical data with many other fetal pathologies, in addition to the above, it is important to mention that invasive tests are required for its diagnosis, generating an additional risk for gestation, but they become necessary at the time of ruling out other possible pathologies causing fetal clinical signs that are evident through ultrasound studies. The following is a clinical case, with the aim of remembering that, although it is a rare entity, it must be taken into account when finding some of the ultrasound alterations already mentioned (hydrops, visceromegaly, placentomegaly), since it shares many ultrasound signs with other pathologies, and none of them is pathognomonic of this entity. Fetal leukemia has a poor prognosis and is considered the leading cause of neonatal and fetal death in terms of neoplastic causes.
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