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. 1974 Aug;76(2):225–244.

The Natural History of Neuroblastic Cells in the Fetal Adrenal Gland

Susan Beckwitt Turkel, Hideo H Itabashi
PMCID: PMC1910868  PMID: 4843383

Abstract

A study was made of neuroblastic nodules of the human adrenal gland in fetal life to determine their embryonic morphology and derivation. One hundred sixty-nine glands from 92 fetuses selected from 106 consecutively submitted fetuses formed the basis of this study. All adrenal glands examined contained neuroblastic nodules. They increased in number and maximum size with increasing age, peaked at 17 to 20 weeks gestational age, and regressed in the oldest fetuses. It is concluded that such neuroblastic nodules are an integral part of the normal morphogenesis of the adrenal gland. Their presence at birth and early infancy may represent a normal variation, and they do not necessarily constitute microscopic incipient malignancy.

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Selected References

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  1. BECKWITH J. B., PERRIN E. V. IN SITU NEUROBLASTOMAS: A CONTRIBUTION TO THE NATURAL HISTORY OF NEURAL CREST TUMORS. Am J Pathol. 1963 Dec;43:1089–1104. [PMC free article] [PubMed] [Google Scholar]
  2. Chatten J., Voorhess M. L. Familial neuroblastoma. Report of a kindred with multiple disorders, including neuroblastomas in four siblings. N Engl J Med. 1967 Dec 7;277(23):1230–1236. doi: 10.1056/NEJM196712072772304. [DOI] [PubMed] [Google Scholar]
  3. Evans A. E., D'Angio G. J., Randolph J. A proposed staging for children with neuroblastoma. Children's cancer study group A. Cancer. 1971 Feb;27(2):374–378. doi: 10.1002/1097-0142(197102)27:2<374::aid-cncr2820270221>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
  4. Guin G. H., Gilbert E. F., Jones B. Incidental neuroblastoma in infants. Am J Clin Pathol. 1969 Jan;51(1):126–136. doi: 10.1093/ajcp/51.1.126. [DOI] [PubMed] [Google Scholar]
  5. Hervonen A. Development of catecholamine--storing cells in human fetal paraganglia and adrenal medulla. A histochemical and electron microscopical study. Acta Physiol Scand Suppl. 1971;368:1–94. [PubMed] [Google Scholar]
  6. Hervonen A., Suoranta H. Vascular supply of human fetal adrenals and the functional significance of the microvascular patterns. Z Anat Entwicklungsgesch. 1972;136(3):311–318. doi: 10.1007/BF00522618. [DOI] [PubMed] [Google Scholar]
  7. Keene M. F. Observations on the Development of the Human Suprarenal Gland. J Anat. 1927 Apr;61(Pt 3):302–324. [PMC free article] [PubMed] [Google Scholar]
  8. Nevin N. C., Dodge J. A., Allen I. V. Two cases of trisomy D associated with adrenal tumours. J Med Genet. 1972 Mar;9(1):119–122. doi: 10.1136/jmg.9.1.119. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Pohorecky L. A., Wurtman R. J. Adrenocortical control of epinephrine synthesis. Pharmacol Rev. 1971 Mar;23(1):1–35. [PubMed] [Google Scholar]
  10. Reisman M., Goldenberg E. D., Gordon J. Congenital heart disease and neuroblastoma. Case report and brief comment. Am J Dis Child. 1966 Mar;111(3):308–310. doi: 10.1001/archpedi.1966.02090060118016. [DOI] [PubMed] [Google Scholar]
  11. Shanklin D. R., Sotelo-Avila C. In situ tumors in fetuses, newborns and young infants. Biol Neonat. 1969;14(5):286–316. doi: 10.1159/000240196. [DOI] [PubMed] [Google Scholar]
  12. Tubergen D. G., Heyn R. M. In situ neuroblastoma associated with an adrenal cyst. J Pediatr. 1970 Mar;76(3):451–453. doi: 10.1016/s0022-3476(70)80488-7. [DOI] [PubMed] [Google Scholar]

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