Maternal Bladder Cancer Diagnosed at Routine First-Trimester Obstetric Ultrasound Examination

2013 ◽  
Vol 122 (2, PART 2) ◽  
pp. 464-467 ◽  
Author(s):  
Amanda Yeaton-Massey ◽  
Kathleen F. Brookfield ◽  
Natali Aziz ◽  
Barbora Mrazek-Pugh ◽  
Jane Chueh
2015 ◽  
Vol 43 (5) ◽  
Author(s):  
Marcin Wiechec ◽  
Agnieszka Nocun ◽  
Ewa Wiercinska ◽  
Jill Beithon ◽  
Anna Knafel

AbstractTricuspid regurgitation (TR) is a common sonographic finding during the fetal life. It has been reported in 7% of normal fetuses. It may be associated with aneuploidy and with both cardiac and extracardiac defects.In this study, we have looked at the characteristics of fetuses with and without TR at 11The study group included women, who underwent an ultrasound examination at 11–13Some 1075 patients met our inclusion criteria including 979 fetuses without TR and 96 with TR. There were 72 cases of aneuploidy diagnosed (6.7%). Isolated TR was found in 53 euploid fetuses (5.2%). All of the TR(+) aneuploid fetuses (n=40) had additional ultrasound markers present. Extracardiac anatomy showed a higher prevalence of abnormalities in the group of TR positives (12.5%) vs. TR negatives (1.6%). Abnormal cardiac findings were more frequent in the TR-positive group independently of chromosomal status and were found in 18.8% of fetuses with TR and in 1.9% with a normal tricuspid flow.TR in combination with other markers is the strongest predictor for aneuploidy. TR, as an isolated parameter, is a poor screening tool both for all and for each individual chromosomal abnormality and congenital cardiac defects.


2012 ◽  
Vol 207 (4) ◽  
pp. 306.e1-306.e5 ◽  
Author(s):  
Jean-Pierre Bernard ◽  
Howard S. Cuckle ◽  
Julien J. Stirnemann ◽  
Laurent J. Salomon ◽  
Yves Ville

Author(s):  
Marguerite Lisa Bartholomew

ABSTRACT Obstetric ultrasound is unlike any other form of medical imaging. The expectations of the provider performing the ultrasound are dramatically different from those of the woman receiving the ultrasound. Ultrasound providers are often put into situations where the practice of medicine is superseded by expectations of a pregnant woman and her family who see themselves as consumers of ‘medictainment’ rather than patients. Women come to obstetric ultrasound with the primary expectation to hear the simple news that their baby is normal and most wish to know the fetal sex as a secondary piece of information. They would also like to have information ahead of time about what to expect from an ultrasound examination experience. Ultrasound physicians are charged with the task of identifying something wrong, providing a definitive diagnosis, and communicating it in a balanced and relatively unemotional manner, while at the same time being beneficent and respectful of patient autonomy. Patients may not want to find out that something is wrong, but when there is, they want direct, compassionate communication, and a plan of action. How to cite this article Bartholomew ML. Obstetric Ultrasound: Balancing Recommendations with Expectations. Donald School J Ultrasound Obstet Gynecol 2016;10(1):14-22.


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